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Case Reports in Surgery
Volume 2014, Article ID 132170, 3 pages
Case Report

Pericardial Window Formation Complicated by Intrapericardial Diaphragmatic Hernia

1Department of Internal Medicine, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859, USA
2Thoracic Surgery Section, Albany Medical Center, 47 New Scotland Avenue, Albany, NY 12208, USA

Received 23 November 2013; Accepted 23 December 2013; Published 3 March 2014

Academic Editors: S. H. Ein and S. Paul

Copyright © 2014 Jeremy Docekal and Thomas Fabian. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


In rare circumstances, a diaphragmatic defect may allow for herniation of intra-abdominal contents into the pericardial space. These occurrences are exceedingly rare and may be due to trauma or congenital defects of the septum transversum or as the result of surgical procedures. We describe a 73-year-old female who presented with cardiac and abdominal symptoms one month after undergoing a subxiphoid pericardioperitoneal window for treatment and evaluation of a symptomatic pericardial effusion.