{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T11:30:35Z","timestamp":1765279835869,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The porous diaphragm syndrome is associated with the presence of diaphragmatic fenestrations creating peritoneopleural communications. Such defects may occur in conditions associated with a rise on intra-abdominal pressure including laparoscopic surgery. Thoracic complications of laparoscopic surgery may occur as a result. A 48-year-old woman underwent a total laparoscopic hysterectomy for heavy menstrual bleeding. The postoperative period was complicated by haemoperitoneum resulting in haemothorax secondary to porous diaphragm syndrome. Surgeons and anaesthetists should be aware of the possibility of serious thoracic complications related to laparoscopic surgery.<\/jats:p>","DOI":"10.1136\/bcr-2013-201088","type":"journal-article","created":{"date-parts":[[2013,12,5]],"date-time":"2013-12-05T07:09:35Z","timestamp":1386227375000},"page":"bcr2013201088","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Porous diaphragm syndrome: haemothorax secondary to haemoperitoneum following laparoscopic hysterectomy"],"prefix":"10.1136","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3348-7199","authenticated-orcid":false,"given":"James","family":"May","sequence":"first","affiliation":[{"name":"Frances Perry House, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Ades","sequence":"additional","affiliation":[{"name":"Royal Women's Hospital, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,12,5]]},"reference":[{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.1","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S1052-3359(25)00345-X","article-title":"Porous diaphragm syndromes","volume":"8","author":"Kirschner","year":"1998","journal-title":"Chest Surg Clin N Am"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1007200"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.3","doi-asserted-by":"publisher","DOI":"10.1159\/000167997"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(85)80154-2"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.08.051"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(84)90222-8"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.7","doi-asserted-by":"publisher","DOI":"10.1378\/chest.118.5.1519"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02224.x"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.9","first-page":"151","article-title":"Spontaneous pneumothorax during operative laparoscopy secondary to congenital diaphragmatic defects. A case report","volume":"40","author":"Childers","year":"1995","journal-title":"J Reprod Med"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.10","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196806000-00007"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.04.095"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.12","doi-asserted-by":"publisher","DOI":"10.1159\/000131064"},{"key":"2025082722132195000_2013.dec05_2.bcr2013201088.13","doi-asserted-by":"crossref","unstructured":"Peterzan M Reynolds T Dulay K . Thoracic endometriosis syndrome manifesting as atraumatic haemothorax causing difficult ventilation under general anaesthesia. BMJ Case Rep 2012;2012:pii: bcr2012007206.","DOI":"10.1136\/bcr-2012-007206"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-201088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:13:30Z","timestamp":1756358010000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-201088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,5]]},"references-count":13,"alternative-id":["10.1136\/bcr-2013-201088"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-201088","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,12,5]]}}}