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首页> 外文期刊>World Journal of Gastroenterology >Bochdaleck's hernia complicating pregnancy: case report.
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Bochdaleck's hernia complicating pregnancy: case report.

机译：Bochdaleck的疝气使妊娠复杂化：病例报告。

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摘要

Diaphragmatic hernia complicating pregnancy is rare and results in a high mortality rate, particularly if early surgical intervention is not undertaken. We report a case in which a woman presenting at 23 wk's gestation was admitted with symptoms of respiratory failure and bowel obstruction due to incarceration of viscera through a left posterolateral defect of the diaphragm (Bochdalek's hernia). Surgery (left thoracoabdominal incision) demonstrated compression atelectasis, mediastinal shift, strangulation and gangrene of the herniated viscera which led to segmental resection of the involved portion of large intestine with re-establishment of bowel continuity by end to end anastomosis. The greater omentum was partly necrotic necessitating resection. The diaphragmatic defect was closed with interrupted sutures. Postoperative period was uncomplicated. Pregnancy was allowed to continue until 39 wk's gestation at which time elective cesarean delivery was performed. It is concluded that symptomatic maternal diaphragmatic hernia during pregnancy is a surgical emergency and requires a high index of suspicion.
机译：并发妊娠的肌疝很少见，并导致高死亡率，特别是如果不进行早期外科手术的话。我们报告了一个病例，其中一名孕妇在23周妊娠时因呼吸with和肠梗阻症状而入院，这是由于through肌的左后外侧缺损（博克达莱克疝气）引起的内脏嵌顿。手术（胸腹左切口）显示出压迫性肺不张，纵隔移位，绞窄内脏的坏疽和坏疽，导致大肠受累部分的节段性切除，并通过端对端吻合术重新建立了肠的连续性。大网膜部分坏死，需要切除。 defect肌缺损用间断缝合封闭。术后时期不复杂。允许妊娠持续到妊娠39周，此时进行选择性剖宫产。结论是怀孕期间有症状的母体diaphragm疝是外科急症，需要高度怀疑。

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