Bochdalek Diaphragmatic Hernia Complicating Pregnancy in the third Trimester: Case Report

Hernández-Aragon, Mónica

doi:10.23937/2377-9004/1410057

Cited by 8 publications

(9 citation statements)

References 5 publications

(17 reference statements)

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“…Chest radiographs, ultrasonography (USG) [ 25 ], and magnetic resonance imaging (MRI) have reliable diagnostic significance for evaluating a suspected BH regardless of pregnancy status [ 21 , 32 , 33 , 38 , 39 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…If a tension-free closure due to large defects is not possible, the surgical technique of flaps was inevitably performed in the past. Due to tremendous advances in prosthetic material over recent decades, the surgeon can use prosthetic material that has the advantages of reducing operation time and a tension-free repair [ 15 , 26 , 27 , 28 , 30 , 32 , 33 , 36 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

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Maternal Bochdalek Hernia during Pregnancy: A Systematic Review of Case Reports

et al. 2021

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Background: Since the first report of a diaphragmatic hernia from Ambroise Paré’s necropsy in 1610, the Bochdalek hernia (BH) of the congenital diaphragmatic hernia (CDH) has been the most common types with high morbidity and mortality in the neonatal period. Due to the nature of the disease, CDH associated with pregnancy is too infrequent to warrant reporting in the literature. Mortality of obstruction or strangulation is mostly due to failure to diagnose symptoms early. Data sources and study selection: A systematic literature search of maternal BH during pregnancy was conducted using the electronic databases (PubMed and EMBASE) from January 1941 to December 2020. Because of the rarity of the disease, this review included all primary studies, including case reports or case series that reported at least one case of maternal BH in pregnant. Searches, paper selection, and data extraction were conducted in duplicate. The analysis was performed narratively regardless of the control groups’ presence due to their rarity. Results: The search retrieved 3450 papers, 94 of which were deemed eligible and led to a total of 43 cases. Results of treatment showed 16 cases in delayed delivery after hernia surgery, 10 cases in simultaneous delivery with hernia surgery, 3 cases in non-surgical treatment, and 14 cases in hernia surgery after delivery. Of 16 cases with delayed delivery after hernia surgery, 13 (81%) cases had emergency surgery and three (19%) cases had surgery after expectant management. Meanwhile, 10 cases underwent simultaneous delivery with hernia surgery, 6 cases (60%) had emergent surgery, and 4 cases (40%) had delayed hernia surgery after expectant management. 3 cases underwent non-surgical treatment. In this review, the maternal death rate and fetal/neonatal loss rate from maternal BH was 5% (2/43) and 16% (7/43), respectively. The preterm birth rate has been reported in 35% (15/43) of maternal BH, resulting from maternal deaths in 13% (2/15) of cases and 6 fetal loss in 40% (6/15) of cases; 44% (19/43) of cases demonstrated signs of bowel obstruction, ischemia, or perforation of strangulated viscera in the operative field, resulting from maternal deaths in 11% (2/19) of cases and fetal-neonatal loss in 21% (4/19) of cases. Conclusion: Early diagnosis and surgical intervention are imperative, as a gangrenous or non-viable bowel resection significantly increases mortality. Therefore, multidisciplinary care should be required in maternal BH during pregnancies that undergo surgically repair, and individualized care allow for optimal results for the mother and fetus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maternal Bochdalek Hernia during Pregnancy: A Systematic Review of Case Reports

et al. 2021

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“…In a case report by Hernandez-Aragon et al, USG and x-ray were applied to a pregnant patient for diagnostic purposes. As air-fluid level was seen over the diaphragm, the diagnosis was confirmed by MRI [9]. Nonetheless, there have been a few cases reported in the literature where x-ray and USG have been used on pregnant patients with a hernia.…”

Section: Discussionmentioning

confidence: 87%

Cardiac Arrest in a Pregnant Patient Diagnosed with Bochdalek Hernia

Karabacak¹,

Osmanlıoğlu²,

Ceylan³

et al. 2016

Ann Clin Anal Med

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ÖzetBochdalek hernisinin gebeliğin 8. Haftasında plöroperitoneal membranın septum transversum ile füzyonundaki bozukluk sonucu oluştuğu düşünülmektedir. Olguların çoğunluğu doğduktan sonra solunum sıkıntısı ile klinik bulgu verir ve erişkin yaşa kadar semptomsuz seyir göstermesi oldukça nadir bir durumdur. Hamilelikle birlikte olan yetişkin bochdalek hernisi oldukça nadirdir. 39 yaşında 24 haftalık gebe hasta acil servise epigastrik ağrı ve kusma nedeniyle başvuruyor. Hastaya ağrısı için abdominal Ultrasonografi (USG) planlandı ve işlem yapılırken hastada aniden kardiyak arrest gelişti. Bu olguda genç hamile bir kadında kardiyak arrest ile tanısı konulan konjenital diyafragma hernisi sunulmuştur. Anahtar KelimelerBochdalek Hernisi; Kardiyak Arrest; Gebelik AbstractBochdalek hernia is thought to be the result of a defect of the pleuroperitoneal fold and the septum transversum fusion in the 8th week of gestation. The majority of these patients present with respiratory distress after delivery; asymptomatic progress until adulthood is an extremely rare clinical occurrence. The adult form of a Bochdalek hernia accompanying pregnancy is a rare entity. A 39-year-old, 24-week pregnant patient applied to Emergency service with epigastric pain and vomiting. Abdominal ultrasonography was planned due to the abdominal pain; sudden cardiopulmonary arrest occurred during the procedure. In this case report, congenital diaphragmatic hernia in a young pregnant woman who underwent cardiac arrest is presented.

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“…Crump described the first Bochdalek hernia in pregnancy in the literature in 1911 [7]. To the best of our knowledge, there have been a total of 44 cases in pregnancy reported in the literature since 1959 [1, 2]. The symptoms may vary according to the organs herniated and the location covered in the hemithorax.…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, there are a total of 44 cases reported in the literature between 1959 and 2016 [1, 2]. Difficulty and delay in diagnosis may lead to life-threatening complications.…”

Section: Introductionmentioning

confidence: 99%

Symptomatic Bochdalek Hernia in Pregnancy: A Rare Case Report

Yetkinel¹,

Pekşen

Kızıltan

2017

Case Reports in Surgery

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Introduction Symptomatic Bochdalek hernia in pregnancy is quite rare. To the best of our knowledge, there are a total of 44 cases reported in the literature between 1959 and 2016 (Hernández-Aragon et al., 2015; Koca et al., 2016). Difficulty and delay in diagnosis may lead to life-threatening complications. Case Report We report a case of Bochdalek hernia during the 30 gestational weeks' pregnancy in whom pregnancy continued after surgical repair which resulted in term birth. Discussion Bochdalek hernia is diagnosed with an incidence of 1 in 2200–12500 live births, while symptomatic diaphragm hernia is much less in adults. The actual incidence of diaphragmatic hernias during pregnancy is still unknown. Symptoms may include abdominal distension, recurrent abdominal pain, nausea, vomiting, inability to defecate, dyspnea, and chest pain. The patient with diaphragmatic hernia may be asymptomatic until the late weeks of gestation, as in our case, or herniation may occur during advanced gestational weeks with increased intraabdominal pressure. Conclusion In conclusion, diagnosis of the diaphragm hernia during pregnancy is very rare. Diagnosis is rarer in symptomatic patients due to its rarity and the duration of diagnosis may, therefore, be delayed. Diaphragm hernia should be kept in mind in symptomatic patients due to its high maternal and fetal mortality rates.

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Bochdalek Diaphragmatic Hernia Complicating Pregnancy in the third Trimester: Case Report

Cited by 8 publications

References 5 publications

Maternal Bochdalek Hernia during Pregnancy: A Systematic Review of Case Reports

Maternal Bochdalek Hernia during Pregnancy: A Systematic Review of Case Reports

Cardiac Arrest in a Pregnant Patient Diagnosed with Bochdalek Hernia

Symptomatic Bochdalek Hernia in Pregnancy: A Rare Case Report

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