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The simultaneous repair of an Irreducible Diaphragmatic Hernia while carrying out a Cesarean Section
Yan Chen1, Jie Bai, Yanxia Guo
1Hebei United University Affiliated Hospital, No. 57 Jianshe Road, Tangshan, Hebei Province 063000, China.
Introduction:
Diaphragmatic hernia complicating pregnancy rarely occurs while it is frequently misdiagnosed.
Presentation Of Case:
A pregnant woman who had suffered from recurrent right upper-quadrant abdominal pain for 4 months was hospitalized near full term because the unrelieved abdominal pain was so severe that she couldn't lie down. Following the emergency caesarean, we found a part of the transverse colon and a part of omentum were trapped in the thorax through a 3cm by 3cm laceration in the patient's diaphragm. We removed all trapped intestine which was about 40cm long and repaired diaphragmatic hernia at the same time.
Discussion:
Radiography is useful to diagonisis diaphragmatic hernia, but it had little use for pregnant women. An irreducible diaphragmatic hernia represent a surgical emergency irrespective of fetal maturity. In our case, she had her hernia repaired just during caesarean section by laparotomy.
Conclusion:
Careful examination and a timely operation are needed to treat diaphragmatic hernia complicating pregnancy.
