Cureus

. 2023 Jun 21;15(6):e40718.

 doi: 10.7759/cureus.40718. eCollection 2023 Jun. https://pubmed.ncbi.nlm.nih.gov/37485148/

A Rare Complication in the Delayed Manifestation of Bochdalek Hernia During Pregnancy: A Case Report

Aneena A Moncy ¹, Ashok Ninan Oommen ¹, Rejana R Joy ¹

Affiliations expand

• PMID: 37485148
• PMCID: PMC10360029
• DOI: 10.7759/cureus.40718

Free PMC article

Abstract

Acute gastric volvulus is a surgical emergency and is known to occur secondary to diaphragmatic hernia and eventration. Adult presentation of congenital diaphragmatic hernia is rare, with an estimated incidence of around 0.17%, and pregnancy may predispose to the development of symptoms due to increased intra-abdominal pressure. Pregnancy complicated by diaphragmatic hernia is associated with a high risk of maternal and fetal mortality, necessitating timely diagnosis and treatment. We present the case of a 23-year-old female presenting with a symptomatic left Bochdalek hernia complicated by organo-axial gastric volvulus during her second trimester (27 weeks). Emergency laparotomy was performed, with Caesarean section, reduction of gastric volvulus, and mesh repair of the left posterolateral defect.

Keywords: adult congenital diaphragmatic hernia; diaphragmatic hernia pregnancy; gastric outlet obstruction; left bochdalek hernia; organo-axial gastric volvulus.

Copyright © 2023, Moncy et al.