Strangulated Congenital Diaphragmatic Hernia of Bochdalek Diagnosed in Late Pregnancy: A Case Report and Review of the Literature |
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| Affiliation: | 1. Department of Surgery, Centre Hospitalier Universitaire de Québec, Québec, QC;2. Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire de Québec, Québec, QC;1. Department of Obstetrics and Gynecology, University of Alberta, Edmonton, AB;2. Women and Children''s Health Research Institute, University of Alberta, Edmonton, AB;1. Société des obstétriciens et gynécologues du Canada, Ottawa, Ont.;2. Salus Global Corporation;3. Département d''obstétrique et de gynécologie, Université d'' Ottawa, Ottawa, Ont.;4. Département d''obstétrique et de gynécologie, University of Saskatchewan, Sask.;1. Department of Radiology, Diagnostic Imaging Clinic (CDPI), Rio de Janeiro, Brazil;2. Gaffrée e Guinle University Hospital, Federal University of Rio de Janeiro State (UNIRIO), Rio de Janeiro, Brazil;3. Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, Brazil;4. Medicine Course, Municipal University of São Caetano do Sul (USCS), São Paulo, Brazil;1. Department of Obstetrics and Gynecology, Hadassah University Medical Center, Jerusalem, Israel;2. Department of Obstetrics and Gynecology, Hadassah University Medical Center, Jerusalem, Israel |
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| Abstract: | BackgroundCongenital diaphragmatic hernia is an unusual condition in the adult population because it is mostly a neonatal diagnosis. This entity may be triggered by pregnancy and threaten the life of the mother and her fetus.CaseThis report presents the case of a maternal diaphragmatic hernia diagnosed at 35 weeks of pregnancy with epigastric pain, nausea, and vomiting. Patient developed respiratory distress, and a radiograph revealed left lung collapse. A chest tube was inserted for a presumed tension pneumothorax. The patient's condition deteriorated, and a diaphragmatic hernia containing the stomach, transverse colon, and small bowel was diagnosed. The patient underwent laparotomy with Caesarean section, hernia reduction, and diaphragmatic repair.ConclusionA high degree of suspicion is required to avoid misdiagnosis and management delay. Surgical treatment must be individualized according to gestational age and clinical setting. |
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