• Daniela N Vasquez, María N Basualdo, Vanina M Aphalo, Lucía P Carreras, Gustavo A Plotnikow, Alfredo D Intile, and Joaquín Moreira.
• From the Intensive Care Unit, Sanatorio Anchorena, City of Buenos Aires, Argentina.
• A A Pract. 2019 Aug 1; 13 (3): 102-106.

AbstractCongenital 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.

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