title: [Diaphragmatic rupture: case report of a rare complication of labor].
abstract: A diaphragmatic rupture associated with labor is a rare complication of pregnancy with high fetal and maternal mortality. Due to non-specific symptoms and rareness of the disease the diagnosis can be challenging. We present a case of a healthy 26-year old woman with one previous childbirth who presented upper abdominal pain, tachycardia and dyspnea during labor. Immediately after labor, a left-sided diaphragmatic rupture complicated with ventricle perforation was diagnosed. After prompt diagnosis and immediate surgical care, including thoracotomy and laparotomy, both patient and child experienced a full recovery.
authors.forename: Annika
authors.initials: A
authors.lastname: Mutanen
authors.forename: Henrik
authors.initials: H
authors.lastname: Sandelin
authors.forename: Anu
authors.initials: A
authors.lastname: Nieminen
authors.forename: Hannu
authors.initials: H
authors.lastname: Huusari
authors.forename: Vesa
authors.initials: V
authors.lastname: Toikkanen
mesh_terms: D000328:Adult; D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D006801:Humans; D007744:Obstetric Labor Complications / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D012422:Rupture, Spontaneous; D013908:Thoracotomy