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Repair of symptomatic diaphragmatic hernia during pregnancy.
Obstet Gynecol. 1988 Jun; 71(6 Pt 1):869-71.OG

Abstract

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.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, St. Mary's Health Center, St. Louis, Missouri.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

3285266

Citation

Kurzel, R B., et al. "Repair of Symptomatic Diaphragmatic Hernia During Pregnancy." Obstetrics and Gynecology, vol. 71, no. 6 Pt 1, 1988, pp. 869-71.
Kurzel RB, Naunheim KS, Schwartz RA. Repair of symptomatic diaphragmatic hernia during pregnancy. Obstet Gynecol. 1988;71(6 Pt 1):869-71.
Kurzel, R. B., Naunheim, K. S., & Schwartz, R. A. (1988). Repair of symptomatic diaphragmatic hernia during pregnancy. Obstetrics and Gynecology, 71(6 Pt 1), 869-71.
Kurzel RB, Naunheim KS, Schwartz RA. Repair of Symptomatic Diaphragmatic Hernia During Pregnancy. Obstet Gynecol. 1988;71(6 Pt 1):869-71. PubMed PMID: 3285266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Repair of symptomatic diaphragmatic hernia during pregnancy. AU - Kurzel,R B, AU - Naunheim,K S, AU - Schwartz,R A, PY - 1988/6/1/pubmed PY - 1988/6/1/medline PY - 1988/6/1/entrez SP - 869 EP - 71 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 71 IS - 6 Pt 1 N2 - 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. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/3285266/Repair_of_symptomatic_diaphragmatic_hernia_during_pregnancy_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=3285266.ui DB - PRIME DP - Unbound Medicine ER -