Bochdalek hernia in pregnancy

Ivan Ngai, Jean Ju Sheen, Shravya Govindappagari, David J. Garry

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Asymptomatic diaphragmatic hernias in reproductive-aged women are rare but pose significant morbidity for pregnancy. This is a case of a woman at 29 weeks' gestation with abdominal pain and shortness of breath. Five years prior she had been incidentally diagnosed with a small congenital diaphragmatic hernia of Bochdalek. Following preconception care, she opted against repair of the hernia prior to pregnancy due to lack of symptoms and no clear recommendation for repair from the surgeon. Imaging studies on emergency room presentation demonstrated a large herniation of viscera into her chest occupying her entire left chest with slight cardiac displacement. Through a multidisciplinary approach, she was stabilised and eventually delivered at 31 weeks due to worsening pulmonary function. The hernia was repaired postpartum. We recommend repair of any diaphragmatic hernia prior to conception to prevent significant maternal and fetal morbidity or mortality. A multidisciplinary approach allows for planning.

Original languageEnglish (US)
JournalBMJ Case Reports
DOIs
StatePublished - 2012

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Diaphragmatic Hernia
Pregnancy
Preconception Care
Thorax
Morbidity
Viscera
Herniorrhaphy
Hernia
Dyspnea
Postpartum Period
Abdominal Pain
Hospital Emergency Service
Mothers
Lung
Mortality
Congenital Diaphragmatic Hernias
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Ngai, I., Sheen, J. J., Govindappagari, S., & Garry, D. J. (2012). Bochdalek hernia in pregnancy. BMJ Case Reports. https://doi.org/10.1136/bcr-2012-006859

Bochdalek hernia in pregnancy. / Ngai, Ivan; Sheen, Jean Ju; Govindappagari, Shravya; Garry, David J.

In: BMJ Case Reports, 2012.

Research output: Contribution to journalArticle

Ngai, I, Sheen, JJ, Govindappagari, S & Garry, DJ 2012, 'Bochdalek hernia in pregnancy', BMJ Case Reports. https://doi.org/10.1136/bcr-2012-006859
Ngai I, Sheen JJ, Govindappagari S, Garry DJ. Bochdalek hernia in pregnancy. BMJ Case Reports. 2012. https://doi.org/10.1136/bcr-2012-006859
Ngai, Ivan ; Sheen, Jean Ju ; Govindappagari, Shravya ; Garry, David J. / Bochdalek hernia in pregnancy. In: BMJ Case Reports. 2012.
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