The immediate effectiveness of arterial EMB is undeniable but depends on the expertise of the radiologist. When EMB is successful, further surgery should be reserved for patients in good general condition who have other complications of chronic pancreatitis that are not amenable to minimally invasive techniques.

An unusual case of intrapericardial diaphragmatic hernia is presented. Cardiac tamponade occurred in the operating room soon after induction of anaesthesia. Surgical removal of the herniated omentum and stomach allowed haemodynamic improvement. The pathophysiology is discussed and patients with cardiac tamponade reviewed.

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