Congenital hernias, frequently misdiagnosed during pregnancy, are potentially fatal and require prompt repair. A pregnant woman with medical history of repaired congenital hernia was admitted with misdiagnosis of preeclampsia. Physical examination and chest x-ray revealed a Bochdalek hernia. Transitory stabilization prompted surgeons to postpone hernia repair, but an urgent thoracotomy was required to relieve a subsequent bowel obstruction that was complicated by an intrathoracic colonic perforation. Emergent cesarean delivery was required with a good maternal and fetal outcome. A multidisciplinary team was present in the operating room. All monitoring catheters were placed in advance in the intensive care unit. During recovery, the patient experienced ventricular fibrillation, presumed to be a manifestation of takotsubo syndrome, which responded favorably to cardiopulmonary resuscitation.
From the *Intensive Care Unit, Sanatorio Anchorena, City of Buenos Aires, Argentina
Departments of †Obstetrics and Gynecology
‡Anesthesia, Sanatorio Anchorena, City of Buenos Aires, Argentina.
Accepted for publication January 29, 2019.
The authors declare no conflicts of interest.
This study was approved by the Ethics Committee of the hospital (F004-02-A2017) and conforms to the provisions of the Declaration of Helsinki of 1975, as revised in 2000. The patient provided written informed consent to share the specifics of her case, preserving anonymity.
Address correspondence to Daniela N. Vasquez, MD, Intensive Care Unit, Sanatorio Anchorena, 25# 1977, Villa Elisa, La Plata, Buenos Aires, Argentina CP 1894. Address e-mail to email@example.com.