Document Detail


Bochdaleck's hernia complicating pregnancy: case report.
MedLine Citation:
PMID:  16688848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Diaphragmatic hernia complicating pregnancy is rare and results in a high mortality rate, particularly if early surgical intervention is not undertaken. We report a case in which a woman presenting at 23 wk's gestation was admitted with symptoms of respiratory failure and bowel obstruction due to incarceration of viscera through a left posterolateral defect of the diaphragm (Bochdalek's hernia). Surgery (left thoracoabdominal incision) demonstrated compression atelectasis, mediastinal shift, strangulation and gangrene of the herniated viscera which led to segmental resection of the involved portion of large intestine with re-establishment of bowel continuity by end to end anastomosis. The greater omentum was partly necrotic necessitating resection. The diaphragmatic defect was closed with interrupted sutures. Postoperative period was uncomplicated. Pregnancy was allowed to continue until 39 wk's gestation at which time elective cesarean delivery was performed. It is concluded that symptomatic maternal diaphragmatic hernia during pregnancy is a surgical emergency and requires a high index of suspicion.
Authors:
Nikolaos Barbetakis; Andreas Efstathiou; Michalis Vassiliadis; Theocharis Xenikakis; Ioannis Fessatidis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  12     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-05-11     Completed Date:  2006-06-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  2469-71     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Geniki Kliniki-Euromedica, Paraliaki Ave and Gravias 2, Thessaloniki, Greece. nibarb@otenet.gr
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MeSH Terms
Descriptor/Qualifier:
Adult
Emergencies
Female
Hernia, Diaphragmatic / complications*,  congenital,  pathology,  surgery*
Humans
Pregnancy
Pregnancy Complications / diagnosis,  pathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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