Strangulated Diaphragmatic Hernia Complicating Delivery

Pearson, Seibert C.; Pillsbury, S.Gainer; McCALLUM, MacWINSTON

doi:10.1001/jama.1950.62920010004006b

Cited by 15 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…BH, Bochdalek hernia; NA, not available; VD, vaginal delivery; C/S, cesarean section. a [ 7 , 16 , 23 , 24 , 35 , 37 ]; b [ 10 , 31 , 32 , 36 , 27 ]; c [ 29 ]; d [ 42 ]; e [ 9 ]; f [ 30 ]; g [ 11 , 15 ]; h [ 21 , 39 ]; i [ 23 , 28 , 25 , 44 ]; j [ 11 , 15 , 30 ]; k [ 33 ]; l [ 4 , 12 , 17 , 19 , 22 ]; m [ 4 , 5 , 18 , 26 , 34 , 41 , 45 ]; n [ 14 ]; o [ 20 ]; p [ 13 ].…”

Section: Figurementioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2021

View full text Add to dashboard Cite

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.

show abstract

Section: Figurementioning

confidence: 99%

“…Therefore, a Bochdaleck hernia during pregnancy is too infrequent to warrant reporting in the literature. Thompson and Le Blanc [ 4 ] in 1945 carried out the first successful surgical intervention to treat a congenital diaphragmatic hernia complicating pregnancy and followed a second similar case by Person and his coworker [ 5 ] in 1950.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The literature on diaphragmatic hernia in pregnancy can be divided into two major categories. The first group of papers describe those through which strangulation occurs during or soon after labour with a fatal outcome (Pearson et al 1950;Diddle & Tidrick 1941;Thompson & Le Blanc 1944; De Lee & Gilson 194 1) unless immediate surgical repair is undertaken (Sullivan 1966). The second group of papers describe sudden death in mid-pregnancy (Diddle & Tidrick 1941;Zimmerman & Stracke 1977).…”

Section: Commentmentioning

confidence: 99%

Vomiting in late pregnancy due to diaphragmatic hernia. Case report

Fardy

1984

BJOG

View full text Add to dashboard Cite

“…Maternal diaphragmatic hernia complicating pregnancy is a rare but potentially life‐threatening condition. In 1913, Muller described a fatal case of a strangulated diaphragmatic hernia presenting in the puerperium 1 and at least 31 further cases involving pregnancy have subsequently been described 2–30 . Although hiatus hernias are a relatively common cause of minor complaints in pregnancy, the rarer congenital or traumatic diaphragmatic defects may predispose to incarceration and strangulation of abdominal viscera within the thorax as the uterus enlarges.…”

Section: Introductionmentioning

confidence: 99%