Undiagnosed maternal diaphragmatic hernia - a management dilemma

Abstract Background Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. Case presentation We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestati...

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Main Authors: Maya Reddy (Author), Annie Kroushev (Author), Kirsten Palmer (Author)
Format: Book
Published: BMC, 2018-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Maya Reddy  |e author 
700 1 0 |a Annie Kroushev  |e author 
700 1 0 |a Kirsten Palmer  |e author 
245 0 0 |a Undiagnosed maternal diaphragmatic hernia - a management dilemma 
260 |b BMC,   |c 2018-06-01T00:00:00Z. 
500 |a 10.1186/s12884-018-1864-4 
500 |a 1471-2393 
520 |a Abstract Background Maternal diaphragmatic hernias identified during pregnancy are rare and pose significant management challenges with regards to timing and mode of both delivery and hernia repair. Case presentation We describe a case of a maternal diaphragmatic hernia diagnosed at 31 weeks gestation in the setting of acute upper abdominal pain. Due to no evidence of visceral compromise and a stable maternal condition, the patient was conservatively managed, allowing for further foetal maturation. Delivery by caesarean section occurred following concerns of malnutrition and partial bowel obstruction. This was followed by immediate surgical repair of the hernia. The patient had an uncomplicated recovery. Conclusion Maternal diaphragmatic hernias in pregnancy require multidisciplinary care and individualised management in order to allow for the optimal outcome for mother and foetus. 
546 |a EN 
690 |a Diaphragmatic hernia 
690 |a Antenatal management 
690 |a Intrapartum management 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-5 (2018) 
787 0 |n http://link.springer.com/article/10.1186/s12884-018-1864-4 
787 0 |n https://doaj.org/toc/1471-2393 
856 4 1 |u https://doaj.org/article/e44359e88cc34e40b24f8ad9f2f3aab6  |z Connect to this object online.