CASE STUDY DIAPHRAGMATIC EVENTRATION

In this patient, there was no recurrence of symptoms after a follow-up of 2 years. The cardiac examination was unremarkable with regular cardiac rate, rhythm and no murmurs were noted. Its unbroken continuity differentiates it from diaphragmatic hernia [1]. Acquired diaphragmatic eventration can be caused by phrenic nerve injury resulting in diaphragmatic elevation, and paralysis. For the radiological evaluation of diaphragmatic elevation, conventional PA, and lateral chest radiograms were used.

Please review our privacy policy. Abstract We aimed to review the publications on the diagnosis of diaphragmatic eventration and report on the clinical presentation and surgical treatment of a female patient aged 17 years. Contrast coronal section showing both hemithoraces. Ptister-Goedeke and Brunier described four types of thoracic ectopic kidneys: The pleural effusion through the chest tube was high and remained constant in the first 4 weeks and decreased 2 weeks later, after which we had removed the thoracic tube. Multiple imaging modalities are available for the pre-operative diagnosis of diaphragmatic problems.

In addition, it has been reported that conservative approaches did not provide any benefit, wtudy especially in symptomatic patients, dramatic improvements after surgical interventions were reported for very short periods 3,5.

Diaphragm appears to be thinned out and attenuated intra-operatively. Edgar A Baltazar MD — data analysis and interpretation. In this patient, there was no recurrence of symptoms after a follow-up of 2 years.

Conflict of interest I have no conflict eventratoon interest, this paper was not funded and all of the contents and expenses in the making of this paper is purely voluntary in nature. Discussion Management of diaphragmatic eventeration varies greatly on the symptoms of the patients.

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Diaphragmatic Eventration: Autopsy Case Report

Microscopically, there is paucity or absence of muscular fibers and diffuse fibro elastic changes. Correspondence should be addressed to Anibal Carrasco ; se. In addition, they should plan an adequate and individualized surgical repair making use, as far as possible, of the minimally invasive procedures that are currently used.

Gastrointestinal symptoms may be present including epigastric discomfort, heartburn, bloating constipation and weight loss. In our case, bilateral diaphragmatic elevation into chest cavity, diaphragmatic eventration, intrathoracic herniation of the stomach, spleen, and small intestines on the left, and liver on the right side were observed.

case study diaphragmatic eventration

Suture of the hemidiaphragmatic defect. Diaphragmatic eventration in infants. It has been attributed to abnormal myoblast migration to the septum transversum and the pleuroperitoneal membrane.

There are four types of congenital diaphragmatic defects: Thus, it becomes necessary to increase the studu on the need to individualize the treatment approach for this condition due to the low frequency of its pathology. Physical examination showed bowel sound involving the left hemithorax. The high dome without contraction causes pulmonary collapse causing atelectasis, bronchial or parenchymal infections, or alterations in myocardial excitability due to mediastinum deviation [ 20 ].

case study diaphragmatic eventration

The right lung was found to be collapsed. Surgical approaches for eventration include thoracotomy, laparotomy, and thoracoscopy or laparoscopy [ 111 ]. A dual mesh was interposed to reinforce the suture by fixing prolene 0 in the periphery. Ethical approval This paper did not require an ethical approval since it is retrospective case report in nature.

Our patient was treated chronically for bronchial asthma, with episodes of seizures and recurrent bronchial infections. The cases reported previously have been associated with congenital diaphragmatic hernia but have not been associated with diaphragmatic eventration, as seen in our case.

  THESIS STATEMENT KAFKAS METAMORPHOSIS

In infants, the symptoms are severe due to the poor development of the thoracic cage and weakness of the intercostal muscles that cause paradoxical breathing and require the use of mechanical ventilation [ 313 ].

Axial section of both hemithoraces. These are usually asymptomatic, with normal renal anatomy, and do not require any intervention. View at Google Scholar. Open in a separate window.

Congenital unilateral diaphragmatic eventration in an adult: A rare case presentation

A posterolateral thoracotomy was continued at the level of the seventh intercostal space, with the hemidiaphragm being thinned, although with moderate thickness of muscle fibers Diapuragmatic 8. Eventration results in diaphragmatic elevation and cephalad displacement if the underlying abdominal viscera [2][3].

case study diaphragmatic eventration

The kidney in the posterior view. Central trachea and normal left hemithorax.

Congenital unilateral diaphragmatic eventration in an adult: A rare case presentation

The cardiac examination was unremarkable with regular cardiac rate, rhythm and no murmurs were noted. It can be unilateral or bilateral, but it usually involves the left hemidiaphragm [2]. Video assisted thoracoscopic plication of the left hemidiaphragm in symptomatic eventration in adulthood.