This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Sylvain Rubin Bernard Baehrel Permission Requests Citing Articles Citing Articles via HighWire Google Scholar Articles by Rubin, S. Articles by Baehrel, B. PubMed PubMed Citation Articles by Rubin, S. Articles by Baehrel, B. Related Collections Related Article

Diaphragmatic rupture during labour, two years after an intra-oesophageal rupture of a bronchogenic cyst treated by an omental wrapping

CHU de Reims, Hôpital Robert Debré, Service de Chirurgie Thoracique et Cardiovasculaire, avenue du Général Koenig, F-51092, Reims Cedex, France

*Corresponding author. Tel.: +(33) 3 26 78 71 05; fax: +(33) 3 26 78 32 73.

E-mail address: srubin{at}chu-reims.fr (S. Rubin).

We report the case of a 27-year-old pregnant woman, presenting a rare but potentially fatal complication of an omental wrapping, transposed in the thorax by a phrenotomy due to an intra-oesophageal rupture of a bronchogenic cyst. Two years later, on time of delivery of her first pregnancy, she has presented a diaphragmatic rupture with a complete transposition of the volvuled stomach. The diagnosis was done using the Gastrographin transit and the CT-scan, showing the specific ‘Collar sign’. An urgent surgical correction was performed including the re-instatement of all abdominal organs in the peritoneum, the omental wrapping section and the diaphragmatic closure. The two-year follow-up was uneventful. We discuss the case, the investigations needed and the possibility to cut the omental wrapping without any complication two years after this oesophageal re-inforcement. In conclusion, we believe that omental transpositions must always be done using the retrosternal route or by transhiatal approach to avoid this serious complication after delivery.

Key Words: Diaphragmatic rupture; Labour; Abdominal organs; Outcomes; Imaging

Related Article

eComment: Spontaneous or effort diaphragmatic rupture

Frank Edwin, Mark M. Tettey, Lawrence Sereboe, and Kwabena Frimpong-Boateng
Interactive CardioVascular and Thoracic Surgery 2009 9: 376. [Full Text] [PDF]

This article has been cited by other articles:

				F. Edwin, M. M. Tettey, L. Sereboe, and K. Frimpong-Boateng eComment: Spontaneous or effort diaphragmatic rupture Interactive CardioVascular and Thoracic Surgery, August 1, 2009; 9(2): 376 - 376. [Full Text] [PDF]