Introduction: Diaphragmatic hernias occurring during pregnancy or during labor are very rare. This kind of injury or complication is mostly diagnosed with delay. Case report: A 30-year-old, primigravida woman presented an acute respiratory distress three weeks after childbirth by emergency caesarian section. The past history was uneventful till a car crash three years ago with whiplash injury without blunt abdominal trauma. The diagnostic of the dyspnea was assured by thorax CT scan. Symptoms of gastrointestinal obstruction were not recorded. An emergency thoracotomy was performed. The incarcerated gastric fundus had to be resected. The central diaphragmatic hernia could be closed by sutures. An abdominal approach was not necessary. The postoperative follow-up was uncomplicated. Discussion and Conclusion: Incarceration of abdominal viscera by diaphragmatic hernia is an uncommon cause of pleural empyema. Her happening during pregnancy or during the peri-partum period is increasingly rarely and represents a life-threatening event for the pregnant woman and her fetus. Early diagnosis and surgery in an emergency setting are required. Diagnose and treatment of diaphragmatic hernias in women in child-bearing age should happen before pregnancy in matter to avoid potential lethal complications for the expectant mother as well as for the fetus.
| Published in | Journal of Surgery (Volume 1, Issue 5) |
| DOI | 10.11648/j.js.20130105.12 |
| Page(s) | 70-72 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Diaphragmatic Hernia, Pregnancy, Surgery
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APA Style
Alexandre Descloux, Ulrich Schneider, Thomas Kocher. (2013). Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress. Journal of Surgery, 1(5), 70-72. https://doi.org/10.11648/j.js.20130105.12
ACS Style
Alexandre Descloux; Ulrich Schneider; Thomas Kocher. Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress. J. Surg. 2013, 1(5), 70-72. doi: 10.11648/j.js.20130105.12
AMA Style
Alexandre Descloux, Ulrich Schneider, Thomas Kocher. Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress. J Surg. 2013;1(5):70-72. doi: 10.11648/j.js.20130105.12
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Download@article{10.11648/j.js.20130105.12,
author = {Alexandre Descloux and Ulrich Schneider and Thomas Kocher},
title = {Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress},
journal = {Journal of Surgery},
volume = {1},
number = {5},
pages = {70-72},
doi = {10.11648/j.js.20130105.12},
url = {https://doi.org/10.11648/j.js.20130105.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130105.12},
abstract = {Introduction: Diaphragmatic hernias occurring during pregnancy or during labor are very rare. This kind of injury or complication is mostly diagnosed with delay. Case report: A 30-year-old, primigravida woman presented an acute respiratory distress three weeks after childbirth by emergency caesarian section. The past history was uneventful till a car crash three years ago with whiplash injury without blunt abdominal trauma. The diagnostic of the dyspnea was assured by thorax CT scan. Symptoms of gastrointestinal obstruction were not recorded. An emergency thoracotomy was performed. The incarcerated gastric fundus had to be resected. The central diaphragmatic hernia could be closed by sutures. An abdominal approach was not necessary. The postoperative follow-up was uncomplicated. Discussion and Conclusion: Incarceration of abdominal viscera by diaphragmatic hernia is an uncommon cause of pleural empyema. Her happening during pregnancy or during the peri-partum period is increasingly rarely and represents a life-threatening event for the pregnant woman and her fetus. Early diagnosis and surgery in an emergency setting are required. Diagnose and treatment of diaphragmatic hernias in women in child-bearing age should happen before pregnancy in matter to avoid potential lethal complications for the expectant mother as well as for the fetus.},
year = {2013}
}
TY - JOUR T1 - Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress AU - Alexandre Descloux AU - Ulrich Schneider AU - Thomas Kocher Y1 - 2013/12/20 PY - 2013 N1 - https://doi.org/10.11648/j.js.20130105.12 DO - 10.11648/j.js.20130105.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 70 EP - 72 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20130105.12 AB - Introduction: Diaphragmatic hernias occurring during pregnancy or during labor are very rare. This kind of injury or complication is mostly diagnosed with delay. Case report: A 30-year-old, primigravida woman presented an acute respiratory distress three weeks after childbirth by emergency caesarian section. The past history was uneventful till a car crash three years ago with whiplash injury without blunt abdominal trauma. The diagnostic of the dyspnea was assured by thorax CT scan. Symptoms of gastrointestinal obstruction were not recorded. An emergency thoracotomy was performed. The incarcerated gastric fundus had to be resected. The central diaphragmatic hernia could be closed by sutures. An abdominal approach was not necessary. The postoperative follow-up was uncomplicated. Discussion and Conclusion: Incarceration of abdominal viscera by diaphragmatic hernia is an uncommon cause of pleural empyema. Her happening during pregnancy or during the peri-partum period is increasingly rarely and represents a life-threatening event for the pregnant woman and her fetus. Early diagnosis and surgery in an emergency setting are required. Diagnose and treatment of diaphragmatic hernias in women in child-bearing age should happen before pregnancy in matter to avoid potential lethal complications for the expectant mother as well as for the fetus. VL - 1 IS - 5 ER -
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