Eventration of diaphragm masquerading as a congenital diaphragmatic hernia in a neonate

Abstract

Eventration of the diaphragm is a condition wherein the diaphragm is abnormally elevated while retaining its normal attachments to the sternum, ribs, and dorsolumbar spine. The continuity of the diaphragm remains intact. This is a rare anomaly and is often mistaken as a diaphragmatic hernia on chest radiographs by physicians. Magnetic Resonance Imaging (MRI) gives a definitive diagnosis. We present the case of a neonate who was admitted to the Neonatal Intensive Care Unit and after X-ray and ultrasonography (USG) was presumed to have a right-sided congenital diaphragmatic hernia. But then MRI was done and the diagnosis was changed to eventration of the diaphragm as the continuity of the diaphragm was maintained. The baby was treated with surgery.