. 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
Free PMC article
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.
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