Management of Diaphragmatic Hernia During Pregnancy

Fleyfel, M.; Provost, Nathalie; Ferreira, Jorge; Porte, Henri; Bourzoufi, K.

doi:10.1097/00000539-199803000-00009

Cited by 14 publications

(17 citation statements)

References 12 publications

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“…Clinical features of 30 reviewed cases of diaphragmatic hernia (DH) complicating pregnancy[15][16][17][18][19][20][21][22][23][24][25][26][27][28] …”

mentioning

confidence: 99%

Diaphragmatic hernia during pregnancy: A case report with a review of the literature from the past 50 years

Chen¹,

Hou²,

Zhu

et al. 2011

J of Obstet and Gynaecol

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Diaphragmatic hernia is a rare complication during pregnancy. Only 30 reports have been published on this subject in English between 1959 and 2009. Due to misdiagnoses and management delays, diaphragmatic hernia usually presents itself as a life-threatening emergency. Here, we present a case report of a patient with a traumatic diaphragmatic hernia who became acutely symptomatic during pregnancy. The diaphragmatic hernia was managed successfully, and we describe the presentation, management and outcome of this case. We also present a review of all of the reported cases of diaphragmatic hernias complicating pregnancy that have been published in English during the past 50 years.

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“…Clinical features of 30 reviewed cases of diaphragmatic hernia (DH) complicating pregnancy[15][16][17][18][19][20][21][22][23][24][25][26][27][28] …”

mentioning

confidence: 99%

Diaphragmatic hernia during pregnancy: A case report with a review of the literature from the past 50 years

Chen¹,

Hou²,

Zhu

et al. 2011

J of Obstet and Gynaecol

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“…Diaphragmatic hernia during pregnancy, while rare, may be catastrophic and associated with high mortality. 16,17 A recent report and review described a total of 39 published cases since the first reported case in 1913 of a fatal outcome of a strangulated diaphragmatic hernia during pregnancy and puerperium. 16 Just over half of these cases presented during pregnancy with the others presenting during delivery or postpartum.…”

Section: Discussionmentioning

confidence: 99%

“…It is hypothesized that increased uterine size and, during active labor, contraction of the diaphragm precipitates or aggravates abdominal viscera strangulation, diaphragmatic rupture, or cardiopulmonary collapse. [16][17][18] Due to the high reported mortality rate, some suggest that prophylactic operative repair of the defect should be considered for all pregnant women who present before the third trimester, even for those who are asymptomatic. In general, surgical repair is indicated for symptomatic patients.…”

Section: Discussionmentioning

confidence: 99%

Discovery and Management of Diaphragmatic Hernia Related to Abandoned Epicardial Pacemaker Wires in a Pregnant Woman with {S,L,L} Transposition of the Great Arteries

Benson

Valente

Economy

et al. 2011

Congenital Heart Disease

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Epicardial pacemaker leads placed during childhood are often not removed when transvenous systems are placed later in life. The risk of complications related to retained pacemaker leads and generators is not clear but is generally considered low. We report the case of a 23-year-old pregnant woman who presented with left upper quadrant pain at 20 weeks gestation. The patient was born with {S,L,L} transposition of the great arteries and had high-grade conduction disease in infancy compelling epicardial pacemaker placement. A standard transvenous pacemaker was placed at age 9 years, without removal of the epicardial system. The patient’s abdominal pain was attributed to herniation of abdominal contents through a diaphragmatic defect at the site of the abandoned epicardial pacing wire. Her pain improved spontaneously but worsened later in pregnancy leading to repair of the diaphragmatic hernia via anterolateral thoracotomy at 30 weeks gestation. The procedure was well tolerated by mother and fetus. At 38 3/7 weeks gestation, the patient underwent uneventful delivery by cesarean section for breech presentation. This case illustrates the importance of multidisciplinary collaboration in the care of women with congenital heart disease.

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“…1,2 We identified 20 case reports (congenital [n ϭ 4], traumatic [n ϭ 10], unknown [n ϭ 6]) of diaphragmatic herniation during pregnancy and two case reports of unilateral paralysis during pregnancy (Table II). [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] All authors considered urgent correction of the herniation the most important management because of the risk of rapid deterioration during pregnancy.…”

Section: Unilateral Paralysis Of the Diaphragm During Pregnancymentioning

confidence: 99%

Unilateral paralysis of the diaphragm during pregnancy: Case report and literature review

Pilsczek

George

2005

Heart & Lung

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Management of Diaphragmatic Hernia During Pregnancy

Cited by 14 publications

References 12 publications

Diaphragmatic hernia during pregnancy: A case report with a review of the literature from the past 50 years

Diaphragmatic hernia during pregnancy: A case report with a review of the literature from the past 50 years

Discovery and Management of Diaphragmatic Hernia Related to Abandoned Epicardial Pacemaker Wires in a Pregnant Woman with {S,L,L} Transposition of the Great Arteries

Unilateral paralysis of the diaphragm during pregnancy: Case report and literature review

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