Shoulder Dystocia and Diaphragmatic Hernia
Keywords:
Diaphragmatic eventration, Phrenic nerve, Dystocia.Abstract
Introduction: shoulder dystocia is an unpredictable event that can be mild or severe. In the neonatal period is the most important risk factor for brachial plexus injury and an exceptional cause of diaphragmatic hernia by phrenic nerve injury.Case presentation: a newborn is presented after a shoulder dystocia delivery, born severely depressed and whose evolution requires prolonged ventilatory support.
Conclusions: in the fluoroscopic study we concluded right diaphragmatic hernia, with respiratory distress syndrome approximately of one month of evolution and without requiring surgical treatment to date. The most frequent complications were repeated bronchopneumonia and atelectasis. An updated review of the literature highlighting etiologic diagnosis was made. Photos are presented prior parental consent.
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1-Cuba, Ministerio de Salud Pública. Consenso de procederes diagnósticos y terapéuticos en Obstetricia y perinatología [CD-ROOM]. Ciudad de la Habana: MINSAP; 2010.
2-Galan Henry L, Gottlieb AG. Distocia de hombros: una actualización. Rev Obstet Ginecol Clin N Am. 2007; 34:501-31.
3-Madi JM, Jacobi RV, Araújo BF, Viecceli C, Barazzetti DO, Pavan GP. Factores de riesgo asociados a traumatismo al nacimiento. Rev Chil Obst Ginecol. 2012; 77(1): 35–9.
4- Jennett RJ, Tarby TJ. Brachial plexus palsy: An old problem revisited again.
Am J obstet Gynecol. 1997; 176:1354-7.
5-Rodríguez Díaz M, Amigo Castañeda P. Una mirada a la parálisis braquial obstétrica. Rev Méd Electrón [Internet]. 2011 Jun-Jul [citado 16 Nov 2012]; 33(4): [aprox. 8p.]. Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202011/vol4%202011/tema13.htm
6-Ayerza Casas AA, Delgado Bueno M, Samper Villagrasa MP, Rodríguez Martínez G, López Moreno MJ. Parálisis braquial obstétrica en nuestro Servicio: Revisión de 10 años. Revista Española Pediatría. 2010; 66(2): 107-10.
7-Cantú Cárdenas O, Pérez Martínez PY, Rodríguez Balderrama I, Montes-Tapia FF. Plicatura diafragmática por toracoscopia en un neonato. Reporte de un caso. Rev Mex Pediatr. 2005; 72(4): 186-8.
8- Backe B, Magnussen EB, Johansen OJ, Sellaeg G, Russwurm H. Obstetric brachial plexus palsy: a birth injury not explained by the known risk factors. Acta Obstet Gynecol Scand. 2008; 87:1027-32.
9-Pons Odenaa M, Piqueras Marimbaldob I, Colomer Oferilc J, Segura Matutea S, Palomeque Rico A. Enfermedad respiratoria y parálisis diafragmática en la enfermedad de Charcot-Marie-Tooth. An Pediatr (Barc). 2010; 72(4): 267–71.
10-Sarihan H, Cay A, Akyazici R. Congenital diaphragmatic eventration: treatment and postoperative evaluation. J Cardiovasc Surg. 1996; 37:173-6.
11-Samperio González MA, Selvi Blasco M. Parálisis diafragmática unilateral. Form Med Contin Aten Prim. 2010; 17(07): 480-1.
12- Martínez Cerón E, Cabanillas JJ, Ortega Cuesta B, Álvarez Sala R. Elevación diafragmática como hallazgo radiológico de un tumor fibroso aislado de pleura. Revista de Patología Respiratoria.2011; 14(1): 33-5.

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