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Research: Complications of Congenital Hernia in Pregnancy: A Case Report.


Research: Complications of Congenital Hernia in Pregnancy: A Case Report.

A A Pract. 2019 Aug 1;13(3):102-106. doi: 10.1213/XAA.0000000000001004. https://www.ncbi.nlm.nih.gov/pubmed/30920425

Complications of Congenital Hernia in Pregnancy: A Case Report.

Vasquez DN1Basualdo MN2Aphalo VM1Carreras LP1Plotnikow GA1Intile AD1Moreira J3.

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Congenital hernias, frequently misdiagnosed during pregnancy, are potentially fatal and require prompt repair. A pregnant woman with medical history of repaired congenital hernia was admitted with misdiagnosis of preeclampsia. Physical examination and chest x-ray revealed a Bochdalek hernia. Transitory stabilization prompted surgeons to postpone hernia repair, but an urgent thoracotomy was required to relieve a subsequent bowel obstruction that was complicated by an intrathoracic colonic perforation. Emergent cesarean delivery was required with a good maternal and fetal outcome. A multidisciplinary team was present in the operating room. All monitoring catheters were placed in advance in the intensive care unit. During recovery, the patient experienced ventricular fibrillation, presumed to be a manifestation of takotsubo syndrome, which responded favorably to cardiopulmonary resuscitation.PMID: 30920425 DOI: 10.1213/XAA.0000000000001004

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