Diaphragmatic rupture during labor

Hamoudi, D.; Bouderka, M. A.; Benissa, N.; Harti, A.

doi:10.1016/j.ijoa.2004.04.001

Cited by 46 publications

(36 citation statements)

References 14 publications

(11 reference statements)

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“…Different surgical approaches are described, either laparotomy, which offer a good exposition of the herniated abdominal organs or thoracotomy which makes it possible to treat pleuroparenchymal adhesions. Also the laparoscopic approach has been described [11].…”

Section: Discussionmentioning

confidence: 99%

Diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus: rare complication after liver transplantation

et al. 2010

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A diaphragm rupture is a very rare event. A variety of conditions such as coughing, delivery, and vigorous exercise causing a sudden increase of the intra-abdominal pressure can result in diaphragm rupture [1]. The diagnosis can be difficult because of non-specific symptoms and no history of blunt or penetrating trauma. Due to anatomical reasons, diaphragmatic lesions in the left side are more common than those in the right side. Chronic immunosuppressive therapy in transplanted patients, especially with antiproliferative drugs such as mTOR inhibitor, has been considered as a risk factor for the development of incisional hernia [2, 3]. We present the case of diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus.

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Section: Discussionmentioning

confidence: 99%

Diaphragm rupture in a liver transplant patient under chronic immunosuppressive therapy with sirolimus: rare complication after liver transplantation

et al. 2010

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“…If the hernia manifests in the third trimester, once fetal maturity is documented, the baby should be delivered by caesarean section with simultaneous repair of the hernia. 1,8,9 This approach is based on the assumption that labor and standard vaginal delivery increase the intra-abdominal pressure, predisposing to rupture of a repaired defect or further herniation of viscera through a defect left unrepaired. We delivered our patient's baby by caesarean section and repaired the hernia at the same time because it manifested at 28 weeks' gestation and there was a possibility of visceral strangulation.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: Report of a case

et al. 2008

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Diaphragmatic hernia complicating pregnancy is rare and is associated with high morbidity and mortality, particularly if surgical intervention is delayed. We report a case of diaphragmatic hernia in a pregnant 25-year-old woman. The patient was referred to our hospital in respiratory distress in the 28th week of her pregnancy. Chest radiograph and computed tomography showed air-filled bowel loops in the left side of the chest, with a marked mediastinal shift. Immediately after an emergency caesarean section, the herniated abdominal viscera were reduced through the opening in the diaphragm. We resected the ischemic segment of ileum and repaired the diaphragmatic defect with interrupted sutures and a Gore-Tex sheet. She had an uneventful postoperative course and her baby boy also recovered well. We report this case to alert surgeons to the possibility of this rare surgical emergency during pregnancy.

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“…Chez l'adulte, la rupture spontanée du diaphragme est exceptionnelle et reste un diagnostic d'élimination [1][2][3].…”

Section: Discussionunclassified

“…Les grossesses répé-tées seraient également responsables d'un agrandissement d'un défect diaphragmatique qui a entraîné, pendant sa quatrième grossesse, le passage de l'estomac en intrathoracique. Hammoudi et al [1] ont rapporté le même mécanisme physiopathologique mais n'ont pas précisé le siège de la rupture.…”

Section: Mécanismesunclassified