| Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy. | |
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MedLine Citation:
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PMID: 16802016 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Diaphragmatic hernia complicating pregnancy is rare and results in a high mortality rate, particularly if early surgical intervention is not undertaken. CASE PRESENTATION: A woman at 23 week gestation was admitted with symptoms of respiratory failure and bowel obstruction due to incarceration of viscera through a left posterolateral defect of the diaphragm (Bochdalek's hernia). Surgery (left thoracoabdominal incision) demonstrated compression atelectasis, mediastinal shift, strangulation and gangrene of the herniated viscera which led to segmental resection of the involved portion of large intestine with re-establishment of bowel continuity by end to end anastomosis. The greater omentum was partly necrotic necessitating resection. The diaphragmatic defect was closed with interrupted sutures. Postoperative period was uncomplicated. Pregnancy was allowed to continue until 39 weeks' gestation at which time elective cesarean delivery was performed. CONCLUSION: Symptomatic maternal diaphragmatic hernia during pregnancy is a surgical emergency and requires a high index of suspicion. |
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Authors:
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Nikolaos Barbetakis; Andreas Efstathiou; Michalis Vassiliadis; Ioannis Fessatidis |
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Publication Detail:
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Type: Case Reports; Journal Article; Retracted Publication |
Journal Detail:
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Title: Journal of gastrointestinal and liver diseases : JGLD Volume: 15 ISSN: 1841-8724 ISO Abbreviation: J Gastrointestin Liver Dis Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-06-27 Completed Date: 2006-08-18 Revised Date: 2012-08-24 |
Medline Journal Info:
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Nlm Unique ID: 101272825 Medline TA: J Gastrointestin Liver Dis Country: Romania |
Other Details:
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Languages: eng Pagination: 185-8 Citation Subset: IM |
Affiliation:
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Cardiothoracic Surgical Department, Geniki Kliniki-Euromedica, Thessaloniki, Greece. nibarb@yahoo.gr |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Hernia, Diaphragmatic / complications*, congenital, pathology, surgery Humans Intestinal Obstruction / etiology* Pregnancy Pregnancy Complications / etiology* Respiratory Insufficiency / etiology* |
| Comments/Corrections | |
Retraction In:
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Acalovschi M. J Gastrointestin Liver Dis. 2012 Jun;21(2):227
[PMID:
22720316
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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