Mehmet Salih AYDIN, Ahmet ŞEKER, İrfan ESER, Abdullah ÖZGÖNÜL, Şamil GÜNAY, Hasan Hüsnü YÜCE, Funda YALÇIN, Zafer Hasan Ali SAK

Gebelikte doğuştan diyafragma hernisine bağlı özofagus ve mide perforasyonu

Diyafragma hernilerinde çoklu organ hernisi olupakciğerde hipoplaziye neden olsa da, prognozuetkileyen ek bir sorun olmadığı müddetçe hastalıksemptom vermeyebilir. İlave bir patoloji ile birlikteortaya çıktığında ise hayatı tehdit eden bir kliniktablo oluşturabilir. Bu nedenle, dikkatli bir muayeneve detaylı öykü klinisyene ileri derecede yardımcıolacaktır. Rutin gebelik takiplerinde nefes darlığı yada intestinal yakınmalar sorgulanmalı, gerektiğindeultrasonografik olarak pelvik bölge taranırken, batınve toraks da taranmalıdır.

Perforation of esophagus and stomach due to congenital diaphragmatic hernia in pregnancy

The disease may remain latent, even if there is a multipleorgan herniation in diaphragmatic hernias and causehypoplastic lung, as long as there is not an additionalproblem affecting prognosis. In case of an additionalpathology, it may result in a life-threatening clinicalpresentation. Therefore, an attentive examination anddetailed history would greatly help the clinician. Duringroutine pregnancy tests, dyspnea and intestinal complaintsshould be questioned and abdomen and thorax should bescreened, as well, during the ultrasonic screening of thepelvic area, if indicated.

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