John D Hunter , Jyothi Nimmagadda, Anthony Quayle
British Journal of Hospital Medicine 70(3): 166
- 167
(Mar 2009)
Symptomatic maternal diaphragmatic hernia complicating pregnancy is highly unusual. Delay in diagnosis and definitive management can result in maternal and fetal mortality. This article describes the management of a 31-year-old primigravid woman who presented at 27 weeks’ gestation with left-sided abdominal pain. Although systemically well on admission, she became increasingly tachypnoeic, hypoxic and hypotensive shortly after admission. Emergency laparotomy revealed herniation of abdominal contents through a Bochdalek diaphragmatic hernia into the left hemithorax.
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