Eventration of the Diaphragm

Abstract

ED is the abnormal elevation of the diaphragm as a result of paralysis or aplasia of the muscular fibres. The abnormally elevated diaphragm may compress the ipsilateral lung, and with respiratory effort the mediastinum may shift towards the normal side. Therefore, diaphragmatic plication is performed to restore normal pulmonary parenchymal volume by replacing the diaphragm in its normal location. After plication, there was immediate remission of symptoms in most patients and decreasing symptoms were observed for a year in others. During follow-up, the location of the diaphragm was normal and no paradoxical movement was observed. Relapse of symptoms was not noted in patients with immobile diaphragms.

Radiographic and computed tomographic features of caval foramen hernias of the liver in 7 dogs: mimicking lung nodules

“…However, it has been known as a condition where the diaphragmatic muscle is malpositioned with subtotal diaphragmatic tears that do not occur at the central tendon or in the pericaval area because the fibrous tissue is stronger than the muscular portion of the diaphragm [4]. In addition, on radiographs, diaphragmatic eventration seems not to have a pericaval pattern, but rather a caudoventral mediastinal mass pattern [3] or entire hemidiaphragm displacement [17] that definitely differs from caval foramen hernia.…”

Congenital diaphragmatic eventration in children: 12years' experience with 177 cases in a single institution

“…The CDE may easily be missed or misdiagnosed. Early diagnosis and repair of the diaphragm can prevent gastrointestinal disorders, reduce recurrent respiratory tract infections, and improve quality of life [4,5]. The purpose of this study was to summarize the clinical manifestations, physical examination findings, and radiological features of children with CDE in order to identify the opportunities to improve the diagnostic and treatment aspects and to evaluate the long-term outcomes of diaphragmatic plication.…”

Clinical Experience with Diaphragmatic Eventrations

“…Diyafram evantrasyonunda tedavi her zaman gerekmeyebilir. Ancak solunum güçlüğü, göğüs ağrısı, zayıf egzersiz toleransı, tekrarlayıcı pnömoni, kronik bronşit, kardiyak aritmiler ve fonksiyonel mide bozuklukları gibi semptomların varlığında tedavi uygulanır [2]. Hastalardan biri hariç hepsinde respiratuvar şika-yetler mevcuttu, diğer hastada ise öncelikli kusma, bulantı gibi mide ve GİS bulguları vardı.…”

“…Tedavide amaç diyaframın paradoksal hareketini azaltmak ve batına doğru konumlandırmaktır. Böylece akciğer kompresyonu giderilmekte ve mediyastenin hareket etmesi engellenmektedir [2]. Yapılan çalışmalarda operasyon yöntemi olarak torakotomi tercih edilirken son yıllarda buna video yardımlı torakoskopik cerrahide (VATS) eklenmiştir [3].…”