2012, Number 4
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Pediatr Mex 2012; 14 (4)
Diaphragmatic eventration congenital due obstetric trauma in a newborn preterm
Ávila RR, Herrera PM, Rivera GSC, López GE, Olivares BD, Camacho RRI, Velázquez QNI
Language: Spanish
References: 10
Page: 176-181
PDF size: 97.67 Kb.
ABSTRACT
Introduction: The diaphragmatic eventration caused by obstetric trauma is due a phrenic nerve injury and his potential factors include breech delivery, shoulder dystocia and macrosomia. We present a case with diaphragm eventration secondary to obstetric trauma in a premature infant.
Case report: Female premature born at 30 weeks at its local rural hospital by pelvic delivery. Evidence of birth trauma. Develops RSD and mechanical ventilation was needed. At fourth day of life elevation of right hemidiaphragm was noticed. Extubate at day 12th, but needed further reintubation by day 19th for reconstructive surgery. With mechanical intubation 18 days more. Diagnosis of eventration was made in base of hemidiapragm above the 7th costal right arch. Right thoracotomy and placation, was extubated 12 days after surgery.
Discussion: The diaphragmatic eventration by phrenic nerve elongation appears to be an entity of greater involvement in term newborn and even more in macrosomic; this cause turns out to be unusual because it is a premature with obstetric trauma.
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