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Undiagnosed maternal diaphragmatic hernia - a management dilemma.
BMC Pregnancy Childbirth. 2018 Jun 15; 18(1):237.BP

Abstract

BACKGROUND

Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair.

CASE PRESENTATION

We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation. Delivery by caesarean section occurred following concerns of malnutrition and partial bowel obstruction. This was followed by immediate surgical repair of the hernia. The patient had an uncomplicated recovery.

CONCLUSION

Maternal diaphragmatic hernias in pregnancy require multidisciplinary care and individualised management in order to allow for the optimal outcome for mother and foetus.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Monash Medical Centre, Level 5, Clayton, Vic, 3168, Australia. Maya.Reddy@monashhealth.org.Department of Obstetrics and Gynaecology, Monash Medical Centre, Level 5, Clayton, Vic, 3168, Australia.Department of Obstetrics and Gynaecology, Monash Medical Centre, Level 5, Clayton, Vic, 3168, Australia. Department of Obstetrics and Gynecology, Monash University, 246 Clayton Road, Clayton, VIC, Australia.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29907140

Citation

Reddy, Maya, et al. "Undiagnosed Maternal Diaphragmatic Hernia - a Management Dilemma." BMC Pregnancy and Childbirth, vol. 18, no. 1, 2018, p. 237.
Reddy M, Kroushev A, Palmer K. Undiagnosed maternal diaphragmatic hernia - a management dilemma. BMC Pregnancy Childbirth. 2018;18(1):237.
Reddy, M., Kroushev, A., & Palmer, K. (2018). Undiagnosed maternal diaphragmatic hernia - a management dilemma. BMC Pregnancy and Childbirth, 18(1), 237. https://doi.org/10.1186/s12884-018-1864-4
Reddy M, Kroushev A, Palmer K. Undiagnosed Maternal Diaphragmatic Hernia - a Management Dilemma. BMC Pregnancy Childbirth. 2018 Jun 15;18(1):237. PubMed PMID: 29907140.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Undiagnosed maternal diaphragmatic hernia - a management dilemma. AU - Reddy,Maya, AU - Kroushev,Annie, AU - Palmer,Kirsten, Y1 - 2018/06/15/ PY - 2017/12/11/received PY - 2018/05/29/accepted PY - 2018/6/17/entrez PY - 2018/6/17/pubmed PY - 2019/3/20/medline KW - Antenatal management KW - Diaphragmatic hernia KW - Intrapartum management SP - 237 EP - 237 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 18 IS - 1 N2 - BACKGROUND: Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. CASE PRESENTATION: We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation. Delivery by caesarean section occurred following concerns of malnutrition and partial bowel obstruction. This was followed by immediate surgical repair of the hernia. The patient had an uncomplicated recovery. CONCLUSION: Maternal diaphragmatic hernias in pregnancy require multidisciplinary care and individualised management in order to allow for the optimal outcome for mother and foetus. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/29907140/Undiagnosed_maternal_diaphragmatic_hernia___a_management_dilemma_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1864-4 DB - PRIME DP - Unbound Medicine ER -