Bochdaleck's hernia complicating pregnancy: Case report

膈疝复杂化怀孕是稀罕的并且导致高死亡率，特别地如果早外科的干预没被承担。我们报导在 23 wk 的怀孕期介绍的一个女人通过隔膜(Bochdalek 的脱肠) 的一个左后外侧缺点由于内脏的下狱与呼吸衰竭和肠阻塞的症状被同意进入的一个案例。外科(左胸腹切口) 表明了到结束吻合的结束与肠连续性的重建导致了大肠的深奥部分的部分切除术的 herniated 内脏的压迫性膨胀不全，纵隔移动，窒息和坏疽。大网膜是部分坏死的要求切除术。横隔膜的缺点与间断缝术被关上。手术后的时期是不复杂的。怀孕被允许继续直到 39 wk 在时间，选任的恺撒的交货被执行的怀孕期。征兆的母亲的膈疝在怀孕期间是一种外科的紧急情况并且要求怀疑的一个高索引，这被结束。

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.