A Rare Complication in the Delayed Manifestation of Bochdalek Hernia During Pregnancy: A Case Report

Aneena A Moncy1, Ashok Ninan Oommen1, Rejana R Joy1

  • 1General Surgery, Jubilee Mission Medical College and Research Institute, Thrissur, IND.

Cureus
|July 24, 2023
PubMed

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.

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