title: Intestinal perforation in the context of thoracoamniotic shunting and congenital diaphragmatic hernia.
abstract: A fetus was diagnosed by prenatal ultrasound with bilateral intrauterine pleural effusions that were subsequently drained in utero by insertion of bilateral thoracoamniotic shunts. Serial prenatal ultrasound scans were consistent with a left-sided diaphragmatic hernia. On the first day of life, the infant underwent an exploratory laparotomy for intestinal obstruction, with radiographic findings of pneumatosis intestinalis. Intraoperative findings were suggestive of prenatal bowel and diaphragm perforation, which might have occurred as a complication of thoracoamniotic shunting.
authors.affiliation: Neonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Theodore
authors.initials: T
authors.lastname: Dassios
authors.affiliation: Department of Fetal Medicine, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Wassim A
authors.initials: WA
authors.lastname: Hassan
authors.affiliation: Department of Paediatric Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Marcin
authors.initials: M
authors.lastname: Kazmierski
authors.affiliation: Department of Paediatric Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Daniel
authors.initials: D
authors.lastname: Carroll
authors.affiliation: Neonatal Intensive Care Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.
authors.forename: Jag
authors.initials: J
authors.lastname: Ahluwalia
keywords: diaphragmatic hernia; intestinal perforation; thoracoamniotic shunt