Post-operative implantation dermoid cyst

✍ Scribed by T. Powell; M. R. Ewing

• Publisher: John Wiley and Sons
• Year: 1952
• Tongue: English
• Weight: 359 KB
• Volume: 39
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003915625

✦ Synopsis

failure of fusion of the septum transversum and of the pleuro-pericardial fold.

SUM2MARY

A rare type of diaphragmatic defect with herniation of abdominal contents into the pericardium is reported. There are 9 similar cases reported. This case is the second to survive operation for correction. An indication is given of the ways in which this condition may arise. T h e diagnosis of paraesophageal hernia was made before operation, but we think it justifiable to say that a more precise diagnosis might have been made on the following signs and symptoms elicited, but not accurately interpreted :- I. History of trauma to the chest.

2. High intestinal obstruction.

3. Absent heart-sounds and signs of tamponade.

Gas shadows in the distended pericardium.

T h e case demonstrates the easy access and smooth convalescence associated with the thoracic approach to diaphragmatic herniae.