RIGHT-SIDED HIGH ORIGIN OF DIAPHRAGM ASSOCIATED WITH ACCESSORY LOBE OF LIVER, LOBULATED RIGHT ATRIAL APPENDAGE, AND IPSILATERAL PHRENIC NERVE HAMARTOMA: A Case Report

Kasznica, John; Praagh, Richard Van; Philip, Abraham T.

doi:10.1080/107710497174642

Cited by 4 publications

(4 citation statements)

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“…The diaphragm is a dome‐shaped structure arising from the xiphoid process, the lower six ribs and their costal cartilages, the medial and lateral arcuate ligaments, and the lumbar vertebral bodies 6 . The mechanism underlying high insertion of the diaphragm is unclear, although it seems to involve the development of the diaphragm from several embryonic tissues including the transverse septum, pleuroperitoneal membranes, esophageal mesentery and body wall muscles 1,7 . The present case had two posterolateral rims with differing height and running routes, which might have been involved in the development of the diaphragm.…”

Section: Discussionmentioning

confidence: 76%

“…Only six cases of high insertion of the diaphragm have been reported in the English literature, [1][2][3][4][5] including one stillborn case due to ascending amniotic infection (Table 1). All cases were right-sided, and the inserted parts and height varied respectively.…”

Section: Discussionmentioning

confidence: 99%

“…There have been only six cases of high insertion of the diaphragm reported in the English literature, [1][2][3][4][5] and the thoracoscopic findings of this lesion have not been described.…”

Section: Introductionmentioning

confidence: 99%

“…High insertion of the diaphragm is rare. In such cases, the diaphragm continuity is present, but its attachment to the thoracic wall is partially or totally displaced in the cephalad direction 1 . This lesion must be distinguished from congenital diaphragmatic hernia (CDH) and diaphragmatic eventration (DE), since the treatment is different.…”

Section: Introductionmentioning

confidence: 99%

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High insertion of the right diaphragm complicated with congenital diaphragmatic hernia: A case report of rare thoracoscopic findings

Ishimoto

Hayashida

Ueda

et al. 2022

Asian J Endoscop Surgery

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We encountered a case of high insertion of the right diaphragm complicated with congenital diaphragmatic hernia that was diagnosed based on thoracoscopic findings. A full-term male baby was suspected of having right congenital diaphragmatic hernia or diaphragmatic eventration on postnatal imaging. He only had episodes of mild but prolonged symptoms following upper respiratory tract infection and his course was otherwise uneventful during outpatient monitoring. At 1 year old, the elevated liver volume remained large, which might eventually interfere with his lung growth, so thoracoscopic exploration was planned. Thoracoscopy revealed liver prolapse from a diaphragmatic defect. In addition, the anterior to lateral inserted part of the diaphragm was high, with the anterior part reaching the fourth rib. We repaired only the diaphragmatic defect without repositioning the diaphragm, and the postoperative course was uneventful. High insertion of the diaphragm should be considered as a differential diagnosis of congenital diaphragmatic eventration.

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Section: Discussionmentioning

confidence: 76%