Diaphragmatic rupture during labor.
Diaphragmatic rupture during labor is uncommon and generally occurs in patients with a history of congenital diaphragmatic hernia or traumatic abdominal or chest injury. We present a case of a 41-year-old woman who presented with abdominal pain, vomiting and hypoventilation four days after a full-term home delivery. Chest radiography suggested the presence of a ruptured diaphragm, and laparotomy revealed a congenital left Bochdalek defect with herniation of the stomach, transverse colon and spleen into the left pleural cavity. Diaphragmatic hernia rupture during labor is a serious but rare complication that requires emergency surgery to prevent visceral perforation and cardio-respiratory failure.
Department of Anesthesiology, Ibn Rochd Hospital, Casablanca, Morocco. hamoudidriss@yahoo.fr
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D
Hamoudi
M A
MA
Bouderka
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N
Benissa
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A
Harti
D004562:Electrocardiography; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006700:Home Childbirth; D006801:Humans; D007813:Laparotomy; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D011247:Pregnancy; D011859:Radiography