Document Detail


Diagnosis and management of fetal intrapericardial Morgagni diaphragmatic hernia with massive pericardial effussion.
MedLine Citation:
PMID:  20152367     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Herniation of the liver into the fluid-filled pericardial sac resulting in a thoracic mass is a particularly rare form of Morgagni hernia (congenital diaphragmatic hernia of Morgagni). We report an early antenatal diagnosis of congenital diaphragmatic hernia of Morgagni with pericardium effussion at 21 weeks' gestation. Two pericardiocentesis were performed at 21 and 22 4/7 weeks' gestation because of recurrence of pericardial effussion. Regular ultrasound assessments showed progressive herniation of the liver to practically fill the right hemithorax. An ex utero intrapartum treatment procedure was performed at 37 weeks' gestation to rescue maximum intrathoracic space for ventilation of the remaining functional lung tissue and to establish an airway for postnatal support. After birth, the patient successfully underwent early correction of the hernia. Postoperative course was uneventful, and the newborn girl was discharged 18 days later without complications and is currently doing well.
Authors:
Guillermo Anti?olo; Juan Carlos De Agustin; Antonio Losada; Maria Luisa Marenco; Lutgardo Garcia-Diaz; Juan Morcillo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  45     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-04-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Unidad De Gesti?n Clinica De Gen?tica, Reproducci?n Y Medicina Fetal, Hospitales Universitarios Virgen Del Roc?o, 41013 Sevilla, Spain. guillermo.antinolo.sspa@juntadeandalucia.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Fetoscopy / methods*
Fetus / pathology,  surgery*
Gestational Age
Hernia, Diaphragmatic / pathology,  surgery*,  ultrasonography*
Humans
Infant, Newborn
Liver / pathology*,  surgery,  ultrasonography
Pericardial Effusion / diagnosis,  surgery*,  ultrasonography
Pericardiocentesis / methods
Pregnancy
Prognosis
Recurrence
Treatment Outcome
Ultrasonography, Prenatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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