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Revista de Ciencias Médicas de Pinar del Río

On-line version ISSN 1561-3194


IZQUIERDO MERALLA, Adelina et al. Shoulder dystocia and diaphragmatic hernia. Rev Ciencias Médicas [online]. 2014, vol.18, n.1, pp.168-174. ISSN 1561-3194.

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.

Keywords : Diaphragmatic eventration; Phrenic nerve; Dystocia.

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