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RETRACTED ARTICLE

Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy.
J Gastrointestin Liver Dis. 2006 Jun; 15(2):185-8.JG

Abstract

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.

Authors+Show Affiliations

Cardiothoracic Surgical Department, Geniki Kliniki-Euromedica, Thessaloniki, Greece. nibarb@yahoo.grNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Retracted Publication

Language

eng

PubMed ID

16802016

Citation

Barbetakis, Nikolaos, et al. "Congenital Diaphragmatic Hernia as a Cause of Cardiorespiratory Failure and Visceral Obstruction in Late Pregnancy." Journal of Gastrointestinal and Liver Diseases : JGLD, vol. 15, no. 2, 2006, pp. 185-8.
Barbetakis N, Efstathiou A, Vassiliadis M, et al. Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy. J Gastrointestin Liver Dis. 2006;15(2):185-8.
Barbetakis, N., Efstathiou, A., Vassiliadis, M., & Fessatidis, I. (2006). Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy. Journal of Gastrointestinal and Liver Diseases : JGLD, 15(2), 185-8.
Barbetakis N, et al. Congenital Diaphragmatic Hernia as a Cause of Cardiorespiratory Failure and Visceral Obstruction in Late Pregnancy. J Gastrointestin Liver Dis. 2006;15(2):185-8. PubMed PMID: 16802016.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Congenital diaphragmatic hernia as a cause of cardiorespiratory failure and visceral obstruction in late pregnancy. AU - Barbetakis,Nikolaos, AU - Efstathiou,Andreas, AU - Vassiliadis,Michalis, AU - Fessatidis,Ioannis, PY - 2006/6/28/pubmed PY - 2006/8/19/medline PY - 2006/6/28/entrez SP - 185 EP - 8 JF - Journal of gastrointestinal and liver diseases : JGLD JO - J Gastrointestin Liver Dis VL - 15 IS - 2 N2 - 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. SN - 1841-8724 UR - https://www.unboundmedicine.com/medline/citation/16802016/Congenital_diaphragmatic_hernia_as_a_cause_of_cardiorespiratory_failure_and_visceral_obstruction_in_late_pregnancy_ L2 - http://www.jgld.ro/2006/2/13.html DB - PRIME DP - Unbound Medicine ER -