Eventration of the diaphragm

Wayne, Eli R.; Campbell, John B.; Burrington, John D.; Davis, William S.

doi:10.1016/0022-3468(74)90101-8

Cited by 102 publications

(46 citation statements)

References 9 publications

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“…Eventeration of the diaphragm is defined as an abnormal elevation of an intact diaphragm, and most often, is characterized by a developmental abnormality of the diaphragm musculature [1]. It usually remains asymptomatic in early life and presents later with respiratory and, occasionally, gastrointestinal complications.…”

Section: Discussionmentioning

confidence: 99%

“…Simple cases may not require surgical intervention if it is not intruding significantly into the thoracic cavity and there are no adverse symptoms [1]. However, treatment by plication is indicated if there are symptoms of dyspnoea, recurrent pneumonia, chronic bronchitis, chest pain, poor exercise tolerance and functional disorders of the stomach 7].…”

Section: · ·mentioning

confidence: 99%

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Eventeration of the diaphragm with a gastric volvulus

2011

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Section: Discussionmentioning

confidence: 99%

Section: · ·mentioning

confidence: 99%

Eventeration of the diaphragm with a gastric volvulus

2011

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“…Minor forms may be clinically asymptomatic whereas major complete eventrations may mimic the features of diaphragmatic hernia with displacement of abdominal organs into the thorax impeding hereby lung development [5] . Complete eventrations tend to be more frequent in males and left sided, whereas partial forms are more often described on the right [6][7][8] . Diaphragmatic eventration can be classified as congenital or acquired.…”

Section: Discussionmentioning

confidence: 99%

“…The acquired form corresponding to paralysis of the diaphragm is due to injury of the phrenic nerve, either following trauma, intrathoracic surgery or inflammation [8] . The congenital type, rarely associated with congenital infections with cytomegalovirus, rubella or toxoplasmosis, corresponds to an incomplete or absent muscularization of the pleuroperitoneal membrane during intrauterine development [8][9][10] . The timing of the complex development of the diaphragm has a direct bearing on the occurrence of congenital diaphragmatic pathologies.…”

Section: Discussionmentioning

confidence: 99%

Right-Sided Diaphragmatic Eventration: A Rare Cause of Non-Immune Hydrops Fetalis

Zankl

Osterheld²,

Vial³

et al. 2007

Neonatology

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We report 2 cases of non-immune hydrops fetalis (NIHF) in which autopsy findings revealed an association with right-sided congenital diaphragmatic eventration (CDE). Both patients born at 30 weeks of gestation presented with severe generalized skin oedema, pleural effusions and ascites. They both died shortly after birth of cardiorespiratory insufficiency due to lung hypoplasia and low output heart failure. The right thoracic cavity was filled with the membranous but intact right diaphragm covering the herniated visceral organs including parts of the liver, small bowel and colon surrounded by voluminous ascites. In similar fashion to the situation seen in congenital diaphragmatic hernia (CDH), the displaced visceral organs led to impaired lung growth resulting in important lung hypoplasia and obstructed venous return. Extravascular liquid accumulation was probably further aggravated by hypoproteinaemia secondary to liver dysfunction resulting from the venous congestion and cardiac failure. In summary, CDE is a rare condition resulting from impaired ingrowth of muscle fibres into the diaphragm during the first trimester. Prenatal differentiation of CDE from CDH is a real challenge. The association of CDE and NIHF has not been previously described.

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“…1) Injury may be related to traction on of the exact problem because thoracoscopy is a more precise procedure. 4) Although thoracoscopic surgery is replacing thoracotomy in the pediatric age group, there are few reports describing thoracoscopic plication (TP) for diaphragmatic eventration in children, particularly in neonates.…”

Section: Introductionmentioning

confidence: 99%

Thoracoscopic Plication for Diaphragmatic Eventration in a Neonate

Takahashi

Okazaki

Ochi

et al. 2013

ATCS

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Background: Currently, thoracoscopic surgery is replacing thoracotomy for an ever increasing number of indications, even in pediatric surgery. However, there are few reports describing thoracoscopic plication (TP) for diaphragmatic eventration in children, particularly in neonates. We report a case of TP under single-lung ventilation in a neonate with diaphragmatic eventration. Case Report: A 10-day-old boy was referred for surgical management of right diaphragmatic eventration. Birth was at term, following an uncomplicated pregnancy and delivery. Shortness of breath, labored respiration and chest retraction presented soon after birth, necessitating mechanical ventilation. Chest radiography and computed tomography revealed an elevated right hemidiaphragm. Attempted weaning off mechanical ventilation failed with persistence of respiratory symptoms, requiring nasal directional positive airway pressure. However, because there was no resolution of symptoms, TP was performed using a 3 port technique under single-lung ventilation on day 17 of life. The postoperative course was excellent with complete resolution of respiratory symptoms with no recurrence for 9 months. Conclusion: To the best of our knowledge, this is the youngest case of TP for diaphragmatic eventration performed under single-lung ventilation. TP is safe, effective and minimally invasive and should be considered actively for the treatment of symptomatic diaphragmatic eventration even in neonates.

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Eventration of the diaphragm

Cited by 102 publications

References 9 publications

Eventeration of the diaphragm with a gastric volvulus

Eventeration of the diaphragm with a gastric volvulus

Right-Sided Diaphragmatic Eventration: A Rare Cause of Non-Immune Hydrops Fetalis

Thoracoscopic Plication for Diaphragmatic Eventration in a Neonate

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