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Obstetrics & Gynecology 2003;102:1194-1196
© 2003 by The American College of Obstetricians and Gynecologists
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CASE REPORTS

Maternal Congenital Diaphragmatic Hernia Complicating Pregnancy

Mehmet R. Genc, MD, PhD, Thomas E. Clancy, MD, Stephen J. Ferzoco, MD and Errol Norwitz, MD, PhD

Departments of Obstetrics and Gynecology and Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts

Address reprint requests to: Mehmet R. Genc, MD, PhD, Bebekyokuso Sok 7 (Erdem Apt), D.6, Etiler, Istanbul, Turkey 80600; E-mail: mgencmd{at}yahoo.com.

ABSTRACT

BACKGROUND: Symptomatic maternal diaphragmatic hernia in a pregnant woman is a surgical emergency associated with high morbidity and mortality both for her and her fetus. Such patients are most commonly managed with immediate cesarean delivery combined with hernia repair.

CASE: A woman presented at 29 weeks’ gestation with symptoms of bowel obstruction due to herniation of viscera through a previously undiagnosed congenital diaphragmatic hernia of Bochdalek, and she was stabilized. Antenatal corticosteroids were administered to facilitate fetal maturity. The hernia was repaired 10 days after her presentation because of evidence of incarceration. Labor was induced at 39 weeks’ gestation, and a healthy infant was delivered vaginally.

CONCLUSION: Expectant management and vaginal delivery after antepartum repair of congenital diaphragmatic hernia in the mother is a reasonable alternative to immediate cesarean delivery.




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 Ann. Thorac. Surg.Home page
T. D. Luu, V. S. Reddy, D. L. Miller, and S. D. Force
Gastric Rupture Associated With Diaphragmatic Hernia During Pregnancy
Ann. Thorac. Surg., November 1, 2006; 82(5): 1908 - 1910.
[Abstract] [Full Text] [PDF]


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