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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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
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author Theodore Dassios
Wassim A. Hassan
Marcin Kazmierski
Daniel Carroll
Jag Ahluwalia
author_facet Theodore Dassios
Wassim A. Hassan
Marcin Kazmierski
Daniel Carroll
Jag Ahluwalia
author_sort Theodore Dassios
collection DOAJ
description 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.
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spelling doaj.art-d1d02733dd5643ffbf29efdc1e7e93182022-12-21T23:53:17ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272013-04-01010100901110.1055/s-0033-1343611Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic HerniaTheodore Dassios0Wassim A. Hassan1Marcin Kazmierski2Daniel Carroll3Jag Ahluwalia4Neonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomDepartment of Fetal Medicine, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomDepartment of Paediatric Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomDepartment of Paediatric Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomNeonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomAbstract 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1343611intestinal perforationthoracoamniotic shuntdiaphragmatic hernia
spellingShingle Theodore Dassios
Wassim A. Hassan
Marcin Kazmierski
Daniel Carroll
Jag Ahluwalia
Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
European Journal of Pediatric Surgery Reports
intestinal perforation
thoracoamniotic shunt
diaphragmatic hernia
title Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
title_full Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
title_fullStr Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
title_full_unstemmed Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
title_short Intestinal Perforation in the Context of Thoracoamniotic Shunting and Congenital Diaphragmatic Hernia
title_sort intestinal perforation in the context of thoracoamniotic shunting and congenital diaphragmatic hernia
topic intestinal perforation
thoracoamniotic shunt
diaphragmatic hernia
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1343611
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AT marcinkazmierski intestinalperforationinthecontextofthoracoamnioticshuntingandcongenitaldiaphragmatichernia
AT danielcarroll intestinalperforationinthecontextofthoracoamnioticshuntingandcongenitaldiaphragmatichernia
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