CASE STUDY DIAPHRAGMATIC EVENTRATION

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. In addition, it has been reported that conservative approaches did not provide any benefit, and especially in symptomatic patients, dramatic improvements after surgical interventions were reported for very short periods 3,5. The first layer was composed of heavy non absorbable silk sutures and the 2nd layer was a composed buttress suture of polyglycolic absorbable heavy sutures. Delos Santons MD— data analysis and interpretation. However, none of these mechanisms is completely clear. Plication is indicated if there are symptoms of dyspnea which can be due to decrease ventilation and oxygenation because of paradoxical motion of the affected diaphragm during inspiration and expiration.

Clifton and Wulkan [ 27 ] reports the use of PTFE in patients with hernias and eventrations with an excellent description of the operative technique in neonates. Baseline arterial blood gases taken were within normal limits. It is important to differentiate diaphragmatic hernia and eventration to be able to plan surgical management pre-operatively. This drainage was probably due to the presence of foreign bodies mesh that led us to administer octreotide to the patient. The embryological mechanism is not clear. However, as is seen in our case, it can develop as a consequence of poliomyelitis 3- 7.

Preliminary investigation of the prosecutor evaluated the case as a suspect death, and sent the corpse to our institute for autopsy. Author information Copyright and License information Disclaimer. Plication can be done through the abdominal or thoracic route [4]. In the general population, the frequency of ectopy is reported to range from 0.

Chest radiographs are the initial and most commonly performed imaging to evaluate the diaphragm.

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

We proceeded by performing posterolateral thoracotomy at the level of the seventh intercostal space, with the evenntration incision to visualize the peritoneal viscera and avoid injury.

  THE HORSE DEALERS DAUGHTER THESIS STATEMENT

Laparoscopy is associated with less pain as it avoids intercostal nerves; both lungs are ventilated for a better diaphragamtic and amplitude for manipulation at the time of suturing. Diaphragmatic crura in the thoracic cavity were elevated bilaterally, and diaphragmatic eventration was detected.

According to Christensen [ 2 ], diaphragmatic eventration is either unilateral or bilateral and complete or partial.

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

She post-operatively had atelectasis on the left lung. I have no conflict of interest, this paper was not funded and all of the contents and expenses in the making of this paper is purely voluntary in nature. There was an improvement of respiratory symptoms.

case study diaphragmatic eventration

Diaphragmatc reported by his family, our old male patient who was found dead at home, had suffered from poliomyelitis when he was a child, and also treated for respiratory tract diseases. 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 REPORT As reported by his family, our old male patient who was found dead at home, had suffered from poliomyelitis when he was a child, and also treated for respiratory tract diseases. Registration of research studies This is case report and was not registered with a UIN.

case study diaphragmatic eventration

Our patient was treated chronically for bronchial asthma, with episodes evenhration seizures and recurrent bronchial infections. External examination revealed a corpse with a height of cm, and weighing 85 kg. The ureter was long to reach the excessive bladder distance but did not enter ectopically [ 2935 ]. Multiple imaging modalities are available for the pre-operative diagnosis of diaphragmatic problems. Besides, minimally invasive diagnostic laparoscopy has been also recommended as a diagnostic modality 4.

  KEDAI HARDCOVER THESIS DI MELAKA

Diaphraymatic by posterolateral thoracotomy is achieved through the sixth, seventh, or eighth intercostal space, using U points, mattress stitch, diapragmatic suture, or stapling [ 3 ]. Acquired diaphragmatic eventration is caused by phrenic nerve injury resulting in diaphragmatic elevation, and paralysis Axial section with the kidney in a posterior position and mild mediastinal compression.

Diaphragmatic eventration in infants.

Diaphragmatic Eventration: Autopsy Case Report

Case Presentation We describe the case of a year-old girl with dry cough, chest pain, respiratory distress, and bronchial spasms for 4 years and presumable repeated episodes of bronchial asthma since her childhood.

View at Google Scholar P. Guarantor I am the guarantor, Johann Paulo Guzman. Long-term results of diaphragmatic plication in adults with unilateral diaphragm paralysis.

Diaphragmatic Eventration: Autopsy Case Report

Plication is indicated if there are symptoms of dyspnea which can be due to decrease ventilation and oxygenation because of paradoxical motion of the affected diaphragm during inspiration and expiration. Among symptomatic patients, the most common symptom is dyspnea. Chest Xray taken on the first operative day showing atelectasis on the left lung. The surgical treatment pursues the improvement of ventilation by minimizing dysfunctional diaphragmatic excursion in the process of inspiration [ 3 ]; Yalcinkaya et al.

Presented case was a year-old deceased man with a sequel of poliomyelitis who was reportedly found death at home. Please review our privacy policy. There are four types of congenital diaphragmatic defects: