Congenital Eventration of the Diaphragm

Laxdal, Oliver E.; McDougall, Hector; Mellin, Gilbert W.

doi:10.1056/nejm195403112501001

Cited by 35 publications

(10 citation statements)

References 36 publications

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“…3,5 It is usually congenital but may also be acquired. 6 It is more commonly left sided with characteristically marked mediastinal displacement to the right, a feature rarely seen with paralysis of the diaphragm. Muscle is thin and weak with movement reduced, paradoxical or absent on fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

Eventration of Left Hemidiaphragm Mimicking as Cavity

Kansal¹,

Jhim²,

Narayanappa³

et al. 2015

jemds

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Eventration of diaphragm is a condition in which there is abnormal elevation of the diaphragm as a result of thinning of muscular layer. It can be congenital as well as acquired. It is more common left sided. Herniation of the abdominal contents can be there. Clinical manifestations range from asymptomatic to life threatening respiratory distress requiring mechanical ventilator support. Ultrasound provides valuable information regarding the integrity of the diaphragm. Other imaging modalities include fluoroscopy, CT and MRI that provide valuable information when diagnosis is in doubt. We are presenting a case report of 25-yearold male with eventration of left hemidiaphragm mimicking as cavity. After taking detail history, examination and proper investigations we finally reached to this diagnosis.

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Section: Discussionmentioning

confidence: 99%

Eventration of Left Hemidiaphragm Mimicking as Cavity

Kansal¹,

Jhim²,

Narayanappa³

et al. 2015

jemds

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show abstract

“…[13] Flouroscopy is considered the most reliable way to document diaphragmatic paralysis and the sniff test is necessary to confirm that abnormal hemidiaphragm excursion is due to paralysis rather than unilateral weakness. [14] Ultrasonography can help in establishing the diagnosis of partial eventration and in distinguishing it from diaphragmatic nerve interruption. The diaphragm can be seen as a continuous thin layer above the elevated abdominal viscera and on real-time ultrasound the abnormal region can be seen to move downward with the normal portion although it may show a slight lag in its inspiratory excursion.…”

Section: Discussionmentioning

confidence: 99%

Eventration of Diaphragm: A Case Seriesreport

Sharma¹,

Pandey²,

Monga³

et al. 2017

IOSR JDMS

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“…Diaphragmatic eventration is the abnormal elevation, thinning, and atrophy of the relaxed diaphragm . It is a relatively rare condition, occurring in approximately 1 in every 10 000 individuals .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic distal gastrectomy in a patient with gastric cancer complicated by eventration of the diaphragm: A case report

Fujii

Haruta

Ohkura

et al. 2018

Asian J Endoscop Surgery

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Diaphragmatic eventration refers to an abnormal elevation of the diaphragm. Here, we report the case of a patient with gastric cancer who underwent successful laparoscopic distal gastrectomy despite the presence of diaphragmatic eventration. The patient was a 72-year-old man diagnosed with early gastric cancer in the antrum, as detected by upper gastrointestinal endoscopy. Preoperative imaging revealed an elevation of the left side of the diaphragm, which was diagnosed as diaphragmatic eventration. Laparoscopic surgery is beneficial for obtaining an optimal field of view. However, there are critical points that must be considered when laparoscopic distal gastrectomy is performed in patients with gastric cancer complicated by diaphragmatic eventration. There were difficulties that affected manipulation because the elevated diaphragm drew the intraperitoneal organs into the thoracic cavity, causing displacement of the normal anatomical position. We found it beneficial to secure the lesser curvature of the stomach given the possible effects of gastric deformation. Figure 4 A postoperative upper gastrointestinal series showed that gastrojejunal anastomosis flow was smooth.

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Congenital Eventration of the Diaphragm

Cited by 35 publications

References 36 publications

Eventration of Left Hemidiaphragm Mimicking as Cavity

Eventration of Left Hemidiaphragm Mimicking as Cavity

Eventration of Diaphragm: A Case Seriesreport

Laparoscopic distal gastrectomy in a patient with gastric cancer complicated by eventration of the diaphragm: A case report

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