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Tan, Teck-Sian; Chen, Chie-Pein; Chen, Chen-Yu
Taiwanese journal of obstetrics & gynecology, March 2021, 2021-03-00, 2021-03-01, Letnik: 60, Številka: 2Journal Article
A congenital diaphragmatic hernia (CDH) complicated with gastric perforation is extremely rare. Herein, we report an unusual case of unexpected intrauterine gastric perforation of a left side CDH with concurrent pleural effusion and ascites. A 21-year-old female underwent prenatal ultrasound at 37 weeks of gestation and revealed a left side CDH, pleural effusion with a large thick-walled cystic mass over the left thorax, ascites, and polyhydramnios. Under the impression of CDH with suspected gastric perforation, Cesarean delivery was arranged and a male neonate was delivered. The neonate received emergency laparotomy soon and a herniation originated from the foramen of Bochdalek and a perforation located in the stomach body along the greater curvature were found. The pathologic diagnosis was consistent with a spontaneous gastric perforation with ischemic change. Sonographic findings of pleural effusion and ascites associated with CDH are clues of antenatal gastrointestinal perforation.
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