Document Detail

Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case.
MedLine Citation:
PMID:  18751950     Owner:  NLM     Status:  MEDLINE    
Diaphragmatic hernia complicating pregnancy is rare and is associated with high morbidity and mortality, particularly if surgical intervention is delayed. We report a case of diaphragmatic hernia in a pregnant 25-year-old woman. The patient was referred to our hospital in respiratory distress in the 28th week of her pregnancy. Chest radiograph and computed tomography showed air-filled bowel loops in the left side of the chest, with a marked mediastinal shift. Immediately after an emergency caesarean section, the herniated abdominal viscera were reduced through the opening in the diaphragm. We resected the ischemic segment of ileum and repaired the diaphragmatic defect with interrupted sutures and a Gore-Tex sheet. She had an uneventful postoperative course and her baby boy also recovered well. We report this case to alert surgeons to the possibility of this rare surgical emergency during pregnancy.
Akihiko Sano; Hiroyuki Kato; Hiroko Hamatani; Makoto Sakai; Naritaka Tanaka; Takanori Inose; Hitoshi Kimura; Hiroyuki Kuwano
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-28
Journal Detail:
Title:  Surgery today     Volume:  38     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2008  
Date Detail:
Created Date:  2008-08-28     Completed Date:  2009-01-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  836-40     Citation Subset:  IM    
Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.
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MeSH Terms
Cesarean Section
Hernia, Diaphragmatic / complications*,  diagnosis,  surgery
Intestinal Obstruction / etiology*
Intestine, Small / blood supply*
Pregnancy Complications* / diagnosis,  surgery

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