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Pregnancy complicated by traumatic diaphragmatic rupture. A case report.
J Reprod Med. 1999 Feb; 44(2):127-30.JR

Abstract

BACKGROUND

Diaphragmatic rupture may be easily overlooked at the time of multiple trauma. Occult diaphragmatic rupture may first manifest during pregnancy as severe dyspnea.

CASE

A parous woman who had sustained multiple traumatic injuries prior to pregnancy presented in midtrimester with abdominal pain and dyspnea. Chest roentgenography and computed tomography revealed bowel in the left hemithorax, compatible with a left-sided diaphragmatic rupture. Surgical correction was indicated secondary to the symptomatic nature of the presentation.

CONCLUSION

Diaphragmatic rupture may be occult and may first present during a subsequent pregnancy. Surgical therapy is the cornerstone of management when a diaphragmatic defect is symptomatic. The route of delivery may be individualized for patients with diaphragmatic repairs in whom there has been sufficient time for healing.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Wright State University School of Medicine, Dayton, Ohio, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10853444

Citation

Flick, R P., et al. "Pregnancy Complicated By Traumatic Diaphragmatic Rupture. a Case Report." The Journal of Reproductive Medicine, vol. 44, no. 2, 1999, pp. 127-30.
Flick RP, Bofill JA, King JC. Pregnancy complicated by traumatic diaphragmatic rupture. A case report. J Reprod Med. 1999;44(2):127-30.
Flick, R. P., Bofill, J. A., & King, J. C. (1999). Pregnancy complicated by traumatic diaphragmatic rupture. A case report. The Journal of Reproductive Medicine, 44(2), 127-30.
Flick RP, Bofill JA, King JC. Pregnancy Complicated By Traumatic Diaphragmatic Rupture. a Case Report. J Reprod Med. 1999;44(2):127-30. PubMed PMID: 10853444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy complicated by traumatic diaphragmatic rupture. A case report. AU - Flick,R P, AU - Bofill,J A, AU - King,J C, PY - 2000/6/15/pubmed PY - 2000/6/24/medline PY - 2000/6/15/entrez SP - 127 EP - 30 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 44 IS - 2 N2 - BACKGROUND: Diaphragmatic rupture may be easily overlooked at the time of multiple trauma. Occult diaphragmatic rupture may first manifest during pregnancy as severe dyspnea. CASE: A parous woman who had sustained multiple traumatic injuries prior to pregnancy presented in midtrimester with abdominal pain and dyspnea. Chest roentgenography and computed tomography revealed bowel in the left hemithorax, compatible with a left-sided diaphragmatic rupture. Surgical correction was indicated secondary to the symptomatic nature of the presentation. CONCLUSION: Diaphragmatic rupture may be occult and may first present during a subsequent pregnancy. Surgical therapy is the cornerstone of management when a diaphragmatic defect is symptomatic. The route of delivery may be individualized for patients with diaphragmatic repairs in whom there has been sufficient time for healing. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/10853444/Pregnancy_complicated_by_traumatic_diaphragmatic_rupture__A_case_report_ L2 - http://www.diseaseinfosearch.org/result/5922 DB - PRIME DP - Unbound Medicine ER -