Pregnancy with diaphragmatic and stomach rupture: Lessons from a case report

Abstract

This report presents a case of diaphragmatic and stomach rupture in a 30‐week pregnant woman. Timely diagnosis and management of the rupture is important to reduce systemic complications and effects on the mother and fetus. Symptoms and signs should be clearly studied to prevent misdiagnosis and delay in the treatment.

Unilateral repair of tracheoesophageal fistula with dilatation of incomplete subglottic stenosis

“…In this case, TEF was presented between the posterior elastic membrane wall of the trachea and the serous esophagus and the third ring of the trachea below the tracheostomy site, 11,12 without the occurrence of fistula stenosis in the trachea with subglottic stenosis 13,14 . Exploration revealed that by resecting left side of the trachea and attaching it without the need for the resection of membranous layer, the muscle tissue was separated from the esophagus and mucosal and muscle layer was sutured 15,16 . In cases where there is a history of surgery on one side, it is preferable to dissect the trachea from the esophagus from the anterior side of the neck to reduce the risk of injury to the recurrent laryngeal nerve 17,18 …”

Delayed presentation of left traumatic diaphragmatic hernia with displacement of spleen and stomach to left hemi thorax

“…When misdiagnosed at the time of trauma, diaphragmatic injuries are likely to be presented after months and years after the trauma in 9.5%-61% cases. 8,9 This case involves a 34-year-old history of penetrating trauma of a veteran who was diagnosed with left traumatic diaphragmatic hernia with displacement of spleen and stomach to the left hemi thorax. The patient was surgically treatment following pulmonary complication, which was managed too.…”

Ovarian ectopic pregnancy misdiagnosed as gestational choriocarcinoma: A case report

“…Bleeding from uterine perforation or metastatic lesions may result in abdominal pain, hemoptysis, or melena [ 8 ]. Patients with central nervous system (CNS) metastases often exhibit evidence of increased intracranial pressure from intracerebral hemorrhage, leading to headaches, dizziness, seizures, or hemiplegia [ 9 , 10 ]. Patients who develop extensive pulmonary metastases may present with dyspnea, cough, or chest pain [ 11 ].…”