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Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case.
Surg Today. 2008; 38(9):836-40.ST

Abstract

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.

Authors+Show Affiliations

Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18751950

Citation

Sano, Akihiko, et al. "Diaphragmatic Hernia With Ischemic Bowel Obstruction in Pregnancy: Report of a Case." Surgery Today, vol. 38, no. 9, 2008, pp. 836-40.
Sano A, Kato H, Hamatani H, et al. Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case. Surg Today. 2008;38(9):836-40.
Sano, A., Kato, H., Hamatani, H., Sakai, M., Tanaka, N., Inose, T., Kimura, H., & Kuwano, H. (2008). Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case. Surgery Today, 38(9), 836-40. https://doi.org/10.1007/s00595-007-3718-y
Sano A, et al. Diaphragmatic Hernia With Ischemic Bowel Obstruction in Pregnancy: Report of a Case. Surg Today. 2008;38(9):836-40. PubMed PMID: 18751950.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case. AU - Sano,Akihiko, AU - Kato,Hiroyuki, AU - Hamatani,Hiroko, AU - Sakai,Makoto, AU - Tanaka,Naritaka, AU - Inose,Takanori, AU - Kimura,Hitoshi, AU - Kuwano,Hiroyuki, Y1 - 2008/08/28/ PY - 2007/04/28/received PY - 2007/09/27/accepted PY - 2008/8/30/pubmed PY - 2009/1/10/medline PY - 2008/8/30/entrez SP - 836 EP - 40 JF - Surgery today JO - Surg. Today VL - 38 IS - 9 N2 - 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. SN - 0941-1291 UR - https://www.unboundmedicine.com/medline/citation/18751950/Diaphragmatic_hernia_with_ischemic_bowel_obstruction_in_pregnancy:_report_of_a_case_ L2 - https://dx.doi.org/10.1007/s00595-007-3718-y DB - PRIME DP - Unbound Medicine ER -