{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T06:32:46Z","timestamp":1773383566740,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T00:00:00Z","timestamp":1644883200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["18K09976"],"award-info":[{"award-number":["18K09976"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["19K10486"],"award-info":[{"award-number":["19K10486"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Porous diaphragm syndrome includes all pleural cavity conditions, including pleural effusion, hemothorax, or pneumothorax, that occur secondary to peritoneal cavity disorders through defects in the diaphragm. In this report, we describe the first known case of porous diaphragm syndrome presenting as hemothorax after laparoscopic myomectomy. A 46\u2010year\u2010old nulliparous woman underwent laparoscopic myomectomy for multiple fibroids. Eight hours after surgery, the patient developed exertional dyspnea followed by hemoptysis. Radiological diagnosis revealed massive hemothorax in the right thoracic cavity. Thoracoscopic findings showed the presence of small fenestrae at the center of the right diaphragm, which were repaired thoracoscopically. Hence, quick postoperative diagnosis resulted in successful treatment. In this case, porous diaphragm syndrome is believed to be caused by retention of intraoperative bleed and saline from intra\u2010abdominal lavage, in the abdominal cavity. Porous diaphragm syndrome is a potential life\u2010threatening condition that gynecological surgeons should consider in this era of laparoscopic surgery.<\/jats:p>","DOI":"10.1111\/jog.15175","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T00:49:31Z","timestamp":1644972571000},"page":"1039-1045","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Porous diaphragm syndrome presenting as hemothorax secondary to hemoperitoneum after laparoscopic myomectomy: A case report and literature review"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3984-975X","authenticated-orcid":false,"given":"Kuniaki","family":"Ota","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University  Tokyo Japan"},{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Katagiri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masafumi","family":"Katakura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshimitsu","family":"Maemura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0955-4248","authenticated-orcid":false,"given":"Toshifumi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Fukushima Medical Center for Children and Women Fukushima Medical University  Fukushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mineto","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Toho University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.12.014"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.08.051"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1967.03120110125031"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000346996"},{"issue":"2","key":"e_1_2_8_6_1","first-page":"449","article-title":"Porous diaphragm syndromes","volume":"8","author":"Kirschner PA","year":"1998","journal-title":"Chest Surg Clin N Am"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-201088"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000131064"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.04.095"},{"issue":"2","key":"e_1_2_8_10_1","first-page":"151","article-title":"Spontaneous pneumothorax during operative laparoscopy secondary to congenital diaphragmatic defects. 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