Document Detail

Repair of symptomatic diaphragmatic hernia during pregnancy.
MedLine Citation:
PMID:  3285266     Owner:  NLM     Status:  MEDLINE    
Congenital diaphragmatic hernia complicating pregnancy is a rarity, accounting for only six out of 17 cases of diaphragmatic hernia reported in the English literature. This case report describes the first successful repair of an acutely symptomatic foramen of Bochdalek hernia during pregnancy, with maternal and fetal survival. In the asymptomatic patient, surgery should be performed promptly on an elective basis in the first and second trimesters. During the third trimester, an asymptomatic defect should be repaired at the time of elective cesarean section. Active labor should be avoided. If symptoms of obstruction arise, this lesion represents a true surgical emergency, and immediate operative intervention should be undertaken regardless of the stage of pregnancy. Delay can result in both fetal and maternal mortality in up to half of cases. Tube gastrostomy may be performed at the time of repair to avert a potential prolonged gastric ileus and gastric volvulus.
R B Kurzel; K S Naunheim; R A Schwartz
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  71     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-06-21     Completed Date:  1988-06-21     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  869-71     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, St. Mary's Health Center, St. Louis, Missouri.
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MeSH Terms
Cesarean Section
Diagnostic Errors
Gastroesophageal Reflux / etiology
Hernia, Diaphragmatic / congenital,  diagnosis,  epidemiology,  surgery*
Postoperative Complications / etiology,  surgery
Pregnancy Complications / diagnosis,  epidemiology,  surgery*
Stomach Volvulus / etiology,  surgery
Time Factors

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

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