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[A case of congenital diaphragmatic hernia due to left central tendon defect in pregnancy].
Nihon Kyobu Geka Gakkai Zasshi. 1989 Jul; 37(7):1426-9.NK

Abstract

A twenty-seven-year-old 25 weeks gestation female was admitted with recurrent symptoms of nausea, vomiting and epigastric pain. She was diagnosed as left diaphragmatic hernia by chest X-ray film, CT and esophago-gastrography. During operation, a left central tendon defect was observed, and was 3.5 cm in diameter. The margin of the defect was smooth and round. It was associated with diaphragmatic eventration. The small intestine and transverse colon were herniated into the left thoracic cavity. The central tendon defect was closed with direct mattress sutures and was reinforced by overlap-technique of the diaphragm. To our knowledge, this type of defect has not been described previously in Japan. Diaphragmatic hernia in pregnancy is very rare, and presents abdominal pain, vomiting and dyspnea. Usually the diagnosis is achieved by chest X-ray film. However, esophago-gastrography should be added, if the diagnosis could not be confirmed by chest X-ray film. Conservative management is reported to bring high mortality, therefore, prompt surgical repair is advisable.

Authors

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Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

2794605

Citation

Fujita, Y, et al. "[A Case of Congenital Diaphragmatic Hernia Due to Left Central Tendon Defect in Pregnancy]." [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai, vol. 37, no. 7, 1989, pp. 1426-9.
Fujita Y, Hirono T, Koike T, et al. [A case of congenital diaphragmatic hernia due to left central tendon defect in pregnancy]. Nihon Kyobu Geka Gakkai Zasshi. 1989;37(7):1426-9.
Fujita, Y., Hirono, T., Koike, T., Yamato, Y., Okawa, A., & Eguchi, S. (1989). [A case of congenital diaphragmatic hernia due to left central tendon defect in pregnancy]. [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai, 37(7), 1426-9.
Fujita Y, et al. [A Case of Congenital Diaphragmatic Hernia Due to Left Central Tendon Defect in Pregnancy]. Nihon Kyobu Geka Gakkai Zasshi. 1989;37(7):1426-9. PubMed PMID: 2794605.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of congenital diaphragmatic hernia due to left central tendon defect in pregnancy]. AU - Fujita,Y, AU - Hirono,T, AU - Koike,T, AU - Yamato,Y, AU - Okawa,A, AU - Eguchi,S, PY - 1989/7/1/pubmed PY - 1989/7/1/medline PY - 1989/7/1/entrez SP - 1426 EP - 9 JF - [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai JO - Nihon Kyobu Geka Gakkai Zasshi VL - 37 IS - 7 N2 - A twenty-seven-year-old 25 weeks gestation female was admitted with recurrent symptoms of nausea, vomiting and epigastric pain. She was diagnosed as left diaphragmatic hernia by chest X-ray film, CT and esophago-gastrography. During operation, a left central tendon defect was observed, and was 3.5 cm in diameter. The margin of the defect was smooth and round. It was associated with diaphragmatic eventration. The small intestine and transverse colon were herniated into the left thoracic cavity. The central tendon defect was closed with direct mattress sutures and was reinforced by overlap-technique of the diaphragm. To our knowledge, this type of defect has not been described previously in Japan. Diaphragmatic hernia in pregnancy is very rare, and presents abdominal pain, vomiting and dyspnea. Usually the diagnosis is achieved by chest X-ray film. However, esophago-gastrography should be added, if the diagnosis could not be confirmed by chest X-ray film. Conservative management is reported to bring high mortality, therefore, prompt surgical repair is advisable. SN - 0369-4739 UR - https://www.unboundmedicine.com/medline/citation/2794605/[A_case_of_congenital_diaphragmatic_hernia_due_to_left_central_tendon_defect_in_pregnancy]_ L2 - http://www.medicalonline.jp/meteo_linkout.php?issn=0369-4739&volume=37&issue=7&spage=1426 DB - PRIME DP - Unbound Medicine ER -