Hydropericardium syndrome (HPS) in poultry is primarily caused by fowl adenovirus serotype 4 and is highly pathogenic, particularly affecting chicks aged 3 to 5 weeks, with an 80% mortality rate. Symptoms include jaundice, enlarged liver, and a distended pericardium with clear or light yellow fluid, but diagnosis can be challenging. Prevention involves maintaining cleanliness, isolating sick birds, providing toxin-free feed, and vaccinating susceptible flocks, while no specific treatment exists other than supportive care.