Document Detail

Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy.
MedLine Citation:
PMID:  16802016     Owner:  NLM     Status:  MEDLINE    
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.
Nikolaos Barbetakis; Andreas Efstathiou; Michalis Vassiliadis; Ioannis Fessatidis
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Publication Detail:
Type:  Case Reports; Journal Article; Retracted Publication    
Journal Detail:
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:
Created Date:  2006-06-27     Completed Date:  2006-08-18     Revised Date:  2012-08-24    
Medline Journal Info:
Nlm Unique ID:  101272825     Medline TA:  J Gastrointestin Liver Dis     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  185-8     Citation Subset:  IM    
Cardiothoracic Surgical Department, Geniki Kliniki-Euromedica, Thessaloniki, Greece.
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MeSH Terms
Hernia, Diaphragmatic / complications*,  congenital,  pathology,  surgery
Intestinal Obstruction / etiology*
Pregnancy Complications / etiology*
Respiratory Insufficiency / etiology*
Retraction In:
Acalovschi M. J Gastrointestin Liver Dis. 2012 Jun;21(2):227   [PMID:  22720316 ]

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