Bochdalek Diaphragmatic Hernia Rupture in Pregnancy: A Case Report

Adriana Ioana Olaru, I Uzochukwu, K Sheehan and R Greene

Department of Obstetrics and Gynecology, Cork University Maternity Hospital, Ireland

^*Correspondance to: Adriana Ioana Olaru 

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Abstract:

Objective: Dyspnea in pregnancy and peri-partum period is a relatively common symptom, potentially caused by a number of diseases, asthma, pulmonary infection, embolism and heart disease. Diaphragmatic hernia is a rare cause, more likely to be misdiagnosed, with a high maternal and fetal mortality risk; therefore, knowledge of this entity is very important.Methods: We present the case of a nulliparous woman at 35+2 weeks gestation, with a history of asthma, self-referred to the emergency room with upper and lower abdominal pain radiating to the back, vomiting, tachycardia and fetal bradycardia. The ultimate diagnosis was a Bochdalek hernia rupture.Results: The patient was misdiagnosed initially with suspected placental abruption and underwent an emergency caesarean section under general anesthesia, complicated by aspiration pneumonia. Further investigations revealed the rupture of a congenital diaphragmatic hernia.Conclusion: The differential diagnosis for severe dyspnoea in pregnancy should include diaphragmatic hernia as a potential albeit rare cause.

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Cite the Article:

Olaru AI, Uzochukwu I, Sheehan K, Greene R. Bochdalek Diaphragmatic Hernia Rupture in Pregnancy: A Case Report. Ann Clin Case Rep. 2017; 2: 1275.