Patel Y, McNally J, Ramani P
Department of Paediatric Surgery, Bristol Royal Hospital for Children, Bristol BS2 8BJ, UK.
J Pediatr Surg. 2007 May;42(5):E29-31. doi: 10.1016/j.jpedsurg.2007.03.033.
A case of a left congenital diaphragmatic hernia (CDH), absent pericardium, and a hernial sac containing ectopic liver tissue is presented. This triplicate of defects is exceedingly rare with only 2 previous reports in the literature dating back to 1936. This case supports the evidence that CDH is the result of failure of the closure of the pleuroperitoneal canals by the growth of the posthepatic mesenchymal plate. Moreover, the role of the phrenic nerve as a mediator for both CDH and absent pericardium is discussed.
