Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress
Journal of Surgery
Volume 1, Issue 5, December 2013, Pages: 70-72
Received: Nov. 18, 2013; Published: Dec. 20, 2013
Views 3472      Downloads 140
Alexandre Descloux, Department of Surgery, Kantonsspital Baden, Im Ergel 1, 5404 Baden, Switzerland
Ulrich Schneider, Department of Surgery, Kantonsspital Baden, Im Ergel 1, 5404 Baden, Switzerland
Thomas Kocher, Department of Surgery, Kantonsspital Baden, Im Ergel 1, 5404 Baden, Switzerland
Article Tools
Follow on us
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.
Diaphragmatic Hernia, Pregnancy, Surgery
To cite this article
Alexandre Descloux, Ulrich Schneider, Thomas Kocher, Diaphragmatic Hernia Revealed by Post-Partum Respiratory Distress, Journal of Surgery. Vol. 1, No. 5, 2013, pp. 70-72. doi: 10.11648/j.js.20130105.12
Decker D, Decker P (2011) Zwerchfellhernien. Allgemein- und Viszeralchirurgie up2date, Vol. 2:111–130. doi: 10.1055/s-0030-1270971
Dessolle L, Vibert E, Bernabé C, Chitrit Y, Saint-Léger S (2004) Syndrome occlusif chez une femme enceinte révélant une hernie diaphragmatique post-traumatique méconnue. J Gynecol Obstet Biol Reprod 33:441–443
Desurmont S, Tariel D, Magnin G, Pierre F (2005) Hernie diaphragmatique maternelle pendant la grossesse: A propos de 2 cas. J Gynecol Obstet Biol Reprod 34(cahier1):711–715
Dietrich CL, Smith CE (2001) Anesthesia for cesarean delivery in a patient with an undiagnosed traumatic diaphragmatic hernia. Anesthesiology 95(4):1028–1031
Eglinton TW, Coulter GN, Bagshaw PF, Cross LA (2006) Diaphragmatic hernias complicating pregnancy. ANZ J Surg 76:553–557
Hammoudi D, Bouderka MA, Benissa N, Harti A (2004) Diaphragmatic rupture during labor. Int J Obstet Anesth 13:284–286
Rifki Jai S, Bensardi F, Hizaz A, Chehab F, Khaiz D, Bouzidi D (2007) A late post-traumatic diaphragmatic hernia revealed during pregnancy by post-partum respiratory distress. Arch Gynecol Obstet (2007) 276:295–298. doi: 10.1007/s00404-007-0347-z
Williams M, Appelboam R, McQuillan P (2003) Presentation of diaphragmatic herniae during pregnancy and labour. Int J Obstet Anesth 12:130–134
Lococo F, Cesario A, Meacci E, Granone P (2012) Intrathoracic gastric perforation: a late complication of an unknown postpartum recurrent hiatal hernia. Interact CardioVasc Thorac Surg 2012;15:317–319
Schwentner L, Wulff C, Kreienberg R, Herr D (2011) Exacerbation of a maternal hiatus hernia in early pregnancy presenting with symptoms of hyperemesis gravidarum: case report and review of the literature. Arch Gynecol Obstet. 2011 Mar;283(3):409-14. doi: 10.1007/s00404-010-1719-3
Chen X, Yang X, Cheng W (2007) Diaphragmatic tear in pregnancy induced by intractable vomiting: a case report and review of the literature. J Matern Fetal Neonatal Med. 2012 Sep;25(9):1822-4. doi:10.3109/14767058.2011.640371
Morcillo-Lopez I, Hidalgo-Mora JJ, Baamonde A, Diaz-Garcia C (2010) Gastric and diaphragmatic rupture in early pregnancy. Interact Thorac CardioVasc Surg 2010;11:713–715
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186