title: The simultaneous repair of an Irreducible Diaphragmatic Hernia while carrying out a Cesarean Section.
abstract: BACKGROUND
  Diaphragmatic hernia complicating pregnancy rarely occurs while it is frequently misdiagnosed.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  Careful examination and a timely operation are needed to treat diaphragmatic hernia complicating pregnancy.
authors.affiliation: Hebei United University Affiliated Hospital, No. 57 Jianshe Road, Tangshan, Hebei Province 063000, China. Electronic address: yan_doctor@163.com.
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.forename: Jie
authors.initials: J
authors.lastname: Bai
authors.forename: Yanxia
authors.initials: Y
authors.lastname: Guo
authors.forename: Guoying
authors.initials: G
authors.lastname: Zhang
keywords: Cesarean section; Diaphragmatic hernias; Pregnancy