title: Warfarin-Associated Diaphragmatic Hernia: An Unusual Diagnosis.
abstract: Fetal warfarin syndrome is a consequence of maternal intake of warfarin during pregnancy and comprises a wide range of manifestations, including some typical facial dysmorphologic features. The authors report a case of prenatal ultrasonographic diagnosis of warfarin embryopathy in an obese woman on unsupervised warfarin prophylaxis at the 16th week of gestation. The fetus presented with facial dysmorphism, pectus excavatum, diaphragmatic hernia, and pulmonary hypoplasia. To the best of our knowledge, this is the second reported case of warfarin-associated diaphragmatic hernia.
authors.affiliation: Department of Obstetrics and Gynecology, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
authors.forename: Cristina
authors.initials: C
authors.lastname: Vilhena
authors.affiliation: Department of Obstetrics and Gynecology, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
authors.forename: Cátia
authors.initials: C
authors.lastname: Gameiro
authors.affiliation: Department of Obstetrics and Gynecology, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Tomás
authors.affiliation: Department of Obstetrics and Gynecology, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
authors.forename: Antónia
authors.initials: A
authors.lastname: Santos
authors.affiliation: Department of Anatomical Pathology, Garcia de Orta Hospital, Avenida Torrado da Silva, 2801-951 Almada, Portugal.
authors.forename: Raquel
authors.initials: R
authors.lastname: Ilgenfritz