Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia

Abstract A fetus was diagnosed by prenatal ultrasound with bilateral intrauterine pleural effusions that were subsequently drained in utero by insertion of bilateral thoracoamniotic shunts. Serial prenatal ultrasound scans were consistent with a left-sided diaphragmatic hernia. On the first day of l...

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Bibliographic Details
Main Authors: Theodore Dassios, Wassim A. Hassan, Marcin Kazmierski, Daniel Carroll, Jag Ahluwalia
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2013-04-01
Series:European Journal of Pediatric Surgery Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1343611
Description
Summary:Abstract A fetus was diagnosed by prenatal ultrasound with bilateral intrauterine pleural effusions that were subsequently drained in utero by insertion of bilateral thoracoamniotic shunts. Serial prenatal ultrasound scans were consistent with a left-sided diaphragmatic hernia. On the first day of life, the infant underwent an exploratory laparotomy for intestinal obstruction, with radiographic findings of pneumatosis intestinalis. Intraoperative findings were suggestive of prenatal bowel and diaphragm perforation, which might have occurred as a complication of thoracoamniotic shunting.
ISSN:2194-7619
2194-7627