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Bochdalek hernia masquerading as severe acute pancreatitis during the third trimester of pregnancy: A case report

Yunzhi Zou, Jinpu Yang, Xiaojiang Zhou, Ke Li, Xiao‐Mei Li, Conghua Song

2020World Journal of Clinical Cases16 citationsDOIOpen Access PDF

Abstract

BACKGROUND: The occurrence of a diaphragmatic hernia during the third trimester of pregnancy is rare; to our knowledge, there has only been a single case report related to congenital Bochdalek hernia complicated with mild acute pancreatitis during pregnancy. Nonspecific symptoms and lack of experience due to its rarity make the diagnosis of this condition very challenging. We report a case of diaphragmatic hernia accompanied by mild acute pancreatitis in the third trimester of pregnancy, which was misdiagnosed as severe acute pancreatitis. CASE SUMMARY: weeks, followed by hernia repair, and the pancreatitis was treated sequentially. The patient was discharged in good condition 20 d after the surgery. CONCLUSION: In this case, surgical treatment was not the same as that for non-pregnant diaphragmatic hernia repair. It is important to first perform a cesarean section before commencing the therapy.

Topics & Concepts

MedicineAcute pancreatitisPancreatitisPregnancyDiaphragmatic herniaSurgeryAbdominal distensionDiaphragmatic breathingAbdominal painHerniaGestationCaesarean sectionAlternative medicinePathologyBiologyGeneticsCongenital Diaphragmatic Hernia StudiesMaternal and fetal healthcareHernia repair and management
Bochdalek hernia masquerading as severe acute pancreatitis during the third trimester of pregnancy: A case report | Litcius