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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2018

Open Access 01-12-2018 | Case report

Undiagnosed maternal diaphragmatic hernia – a management dilemma

Authors: Maya Reddy, Annie Kroushev, Kirsten Palmer

Published in: BMC Pregnancy and Childbirth | Issue 1/2018

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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.
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Metadata
Title
Undiagnosed maternal diaphragmatic hernia – a management dilemma
Authors
Maya Reddy
Annie Kroushev
Kirsten Palmer
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2018
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-018-1864-4

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