Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia
Intrapericardial diaphragmatic hernia is a very rare phenotype of congenital diaphragmatic hernia. Twelve cases of this condition have been reported under the age of 1 year since 1981, and in only four cases were abnormal findings observed antenatally. We report a case of a fetus with this disease i...
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Veröffentlicht in: | The journal of obstetrics and gynaecology research 2007-08, Vol.33 (4), p.561-565 |
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container_title | The journal of obstetrics and gynaecology research |
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creator | Hara, Kikue Kikuchi, Akihiko Takagi, Kimiyo Kaneko, Sachie Yasukochi, Satoshi Ogiso, Yoshifumi |
description | Intrapericardial diaphragmatic hernia is a very rare phenotype of congenital diaphragmatic hernia. Twelve cases of this condition have been reported under the age of 1 year since 1981, and in only four cases were abnormal findings observed antenatally. We report a case of a fetus with this disease in which pericardial effusion was noted in an earlier gestational age than any other previously reported cases. A 35‐year‐old pregnant woman was referred to our center at 16 weeks' gestation. Ultrasound revealed that the bilateral lungs of the fetus were very small due to the compression by massive pericardial effusion. Pregnancy was terminated at 18 weeks, and autopsy of the stillborn baby revealed intrapericardial diaphragmatic hernia and cardiac aneurysm of the right ventricle. In conclusion, when pericardial effusion is observed in a fetus, intrapericardial diaphragmatic hernia, a very rare type of congenital diaphragmatic hernia, must be included in a differential diagnosis. |
doi_str_mv | 10.1111/j.1447-0756.2007.00571.x |
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Twelve cases of this condition have been reported under the age of 1 year since 1981, and in only four cases were abnormal findings observed antenatally. We report a case of a fetus with this disease in which pericardial effusion was noted in an earlier gestational age than any other previously reported cases. A 35‐year‐old pregnant woman was referred to our center at 16 weeks' gestation. Ultrasound revealed that the bilateral lungs of the fetus were very small due to the compression by massive pericardial effusion. Pregnancy was terminated at 18 weeks, and autopsy of the stillborn baby revealed intrapericardial diaphragmatic hernia and cardiac aneurysm of the right ventricle. In conclusion, when pericardial effusion is observed in a fetus, intrapericardial diaphragmatic hernia, a very rare type of congenital diaphragmatic hernia, must be included in a differential diagnosis.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2007.00571.x</identifier><identifier>PMID: 17688631</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Fatal Outcome ; Female ; Fetal Diseases - diagnostic imaging ; Fetal Diseases - pathology ; Fetus ; Hernia, Diaphragmatic - diagnostic imaging ; Hernia, Diaphragmatic - pathology ; Humans ; intrapericardial diaphragmatic hernia ; pericardial effusion ; Pericardial Effusion - diagnostic imaging ; Pericardial Effusion - pathology ; Pregnancy ; prenatal diagnosis ; pulmonary hypoplasia ; Ultrasonography, Prenatal</subject><ispartof>The journal of obstetrics and gynaecology research, 2007-08, Vol.33 (4), p.561-565</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4191-c39f4106fb4e69dd44fc7d6222bcdb7901b008e76e146bbe880ff640e031b7653</citedby><cites>FETCH-LOGICAL-c4191-c39f4106fb4e69dd44fc7d6222bcdb7901b008e76e146bbe880ff640e031b7653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0756.2007.00571.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0756.2007.00571.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17688631$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hara, Kikue</creatorcontrib><creatorcontrib>Kikuchi, Akihiko</creatorcontrib><creatorcontrib>Takagi, Kimiyo</creatorcontrib><creatorcontrib>Kaneko, Sachie</creatorcontrib><creatorcontrib>Yasukochi, Satoshi</creatorcontrib><creatorcontrib>Ogiso, Yoshifumi</creatorcontrib><title>Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Intrapericardial diaphragmatic hernia is a very rare phenotype of congenital diaphragmatic hernia. Twelve cases of this condition have been reported under the age of 1 year since 1981, and in only four cases were abnormal findings observed antenatally. We report a case of a fetus with this disease in which pericardial effusion was noted in an earlier gestational age than any other previously reported cases. A 35‐year‐old pregnant woman was referred to our center at 16 weeks' gestation. Ultrasound revealed that the bilateral lungs of the fetus were very small due to the compression by massive pericardial effusion. Pregnancy was terminated at 18 weeks, and autopsy of the stillborn baby revealed intrapericardial diaphragmatic hernia and cardiac aneurysm of the right ventricle. In conclusion, when pericardial effusion is observed in a fetus, intrapericardial diaphragmatic hernia, a very rare type of congenital diaphragmatic hernia, must be included in a differential diagnosis.</description><subject>Adult</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fetal Diseases - diagnostic imaging</subject><subject>Fetal Diseases - pathology</subject><subject>Fetus</subject><subject>Hernia, Diaphragmatic - diagnostic imaging</subject><subject>Hernia, Diaphragmatic - pathology</subject><subject>Humans</subject><subject>intrapericardial diaphragmatic hernia</subject><subject>pericardial effusion</subject><subject>Pericardial Effusion - diagnostic imaging</subject><subject>Pericardial Effusion - pathology</subject><subject>Pregnancy</subject><subject>prenatal diagnosis</subject><subject>pulmonary hypoplasia</subject><subject>Ultrasonography, Prenatal</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1PAyEQhonR-P0XDCdvu850KbCJF2P8jMaLngm7O7Q0222Frrb_Xmob9SgHmMDzzpCHMY6QY1oXkxyFUBmoocwHACoHGCrMlzvs8OdhN9WFwEyDkgfsKMYJAKoS9T47QCW1lgUestGzjdF_EJ9T8LUNjbctJ-f66Gcd9x23HScb2hUfUVzYRbpNgKNFH_nYfvhulKBFsH_jaZuPgx1NE17zMYXO2xO252wb6XR7HrO325vX6_vs6eXu4frqKasFlpjVRekEgnSVIFk2jRCuVo0cDAZV3VSqBKwANClJKGRVkdbgnBRAUGCl5LA4ZuebvvMwe-_Tl83Ux5ra1nY066ORGkUpSkig3oB1mMUYyJl58FMbVgbBrCWbiVm7NGuXZi3ZfEs2yxQ9287oqyk1v8Gt1QRcboBP39Lq343N48tdKoov7NCMsw</recordid><startdate>200708</startdate><enddate>200708</enddate><creator>Hara, Kikue</creator><creator>Kikuchi, Akihiko</creator><creator>Takagi, Kimiyo</creator><creator>Kaneko, Sachie</creator><creator>Yasukochi, Satoshi</creator><creator>Ogiso, Yoshifumi</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200708</creationdate><title>Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia</title><author>Hara, Kikue ; Kikuchi, Akihiko ; Takagi, Kimiyo ; Kaneko, Sachie ; Yasukochi, Satoshi ; Ogiso, Yoshifumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4191-c39f4106fb4e69dd44fc7d6222bcdb7901b008e76e146bbe880ff640e031b7653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Fetal Diseases - diagnostic imaging</topic><topic>Fetal Diseases - pathology</topic><topic>Fetus</topic><topic>Hernia, Diaphragmatic - diagnostic imaging</topic><topic>Hernia, Diaphragmatic - pathology</topic><topic>Humans</topic><topic>intrapericardial diaphragmatic hernia</topic><topic>pericardial effusion</topic><topic>Pericardial Effusion - diagnostic imaging</topic><topic>Pericardial Effusion - pathology</topic><topic>Pregnancy</topic><topic>prenatal diagnosis</topic><topic>pulmonary hypoplasia</topic><topic>Ultrasonography, Prenatal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hara, Kikue</creatorcontrib><creatorcontrib>Kikuchi, Akihiko</creatorcontrib><creatorcontrib>Takagi, Kimiyo</creatorcontrib><creatorcontrib>Kaneko, Sachie</creatorcontrib><creatorcontrib>Yasukochi, Satoshi</creatorcontrib><creatorcontrib>Ogiso, Yoshifumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hara, Kikue</au><au>Kikuchi, Akihiko</au><au>Takagi, Kimiyo</au><au>Kaneko, Sachie</au><au>Yasukochi, Satoshi</au><au>Ogiso, Yoshifumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2007-08</date><risdate>2007</risdate><volume>33</volume><issue>4</issue><spage>561</spage><epage>565</epage><pages>561-565</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Intrapericardial diaphragmatic hernia is a very rare phenotype of congenital diaphragmatic hernia. Twelve cases of this condition have been reported under the age of 1 year since 1981, and in only four cases were abnormal findings observed antenatally. We report a case of a fetus with this disease in which pericardial effusion was noted in an earlier gestational age than any other previously reported cases. A 35‐year‐old pregnant woman was referred to our center at 16 weeks' gestation. Ultrasound revealed that the bilateral lungs of the fetus were very small due to the compression by massive pericardial effusion. Pregnancy was terminated at 18 weeks, and autopsy of the stillborn baby revealed intrapericardial diaphragmatic hernia and cardiac aneurysm of the right ventricle. In conclusion, when pericardial effusion is observed in a fetus, intrapericardial diaphragmatic hernia, a very rare type of congenital diaphragmatic hernia, must be included in a differential diagnosis.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>17688631</pmid><doi>10.1111/j.1447-0756.2007.00571.x</doi><tpages>5</tpages></addata></record> |
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subjects | Adult Fatal Outcome Female Fetal Diseases - diagnostic imaging Fetal Diseases - pathology Fetus Hernia, Diaphragmatic - diagnostic imaging Hernia, Diaphragmatic - pathology Humans intrapericardial diaphragmatic hernia pericardial effusion Pericardial Effusion - diagnostic imaging Pericardial Effusion - pathology Pregnancy prenatal diagnosis pulmonary hypoplasia Ultrasonography, Prenatal |
title | Massive pericardial effusion in an early gestational fetus having intrapericardial diaphragmatic hernia |
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