Right-sided diaphragmatic eventration: A rare entity

Kansal, Amrit Pal; Chopra, Vishal; Chahal, Aksh; Grover, Charanpreet S.; Singh, Harpreet; Kansal, Saurabh

doi:10.4103/0970-2113.48898

Cited by 22 publications

(31 citation statements)

References 5 publications

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“…In general, a right-sided diaphragm injury can be easily missed because the lesion is difficult to find and has no specific symptoms (1,2). Because the specific diagnostic modality is not available in this situation, we have to adopt a conventional study for evaluation (1,2).…”

Section: Discussionmentioning

confidence: 99%

Right-sided Diaphragm Rupture Incidentally Diagnosed by Coronal Views on Chest and Abdominal Computed Tomography

Kim

Park

Hwang

et al. 2016

Trauma Image Proced

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A 57-year-old man was directly transported to our emergency department via the emergency medical service. The patient was found lying on the floor after a trauma. The initial chest computed tomography (CT) scan showed a suspicious diaphragm injury ( Fig. 1.) with thoracic aortic injury. The trauma team called an intervention radiologist who performed emergency thoracic endovascular aortic repair for aortic rupture. A follow-up abdominal CT scan for liver injury was performed to obtain more detailed information regarding a suspicious diaphragm injury. The herniated liver dome was more prominent (Fig. 2.), and we decided on surgical repair of the injured diaphragm. The patient was sent to the operating room and underwent thoracoscopic examination under double-lumen general endotracheal anesthesia.We found traumatic diaphragm injury and herniation of the liver dome (Fig. 3.). The herniated liver dome was strangulated and had superficial laceration on the surface without active bleeding. We performed a lateral thoracotomy and repaired the injured diaphragm with nonabsorbable sutures in an airtight manner (Fig. 4.). The right- A 57-year-old man was transferred to the emergency department of our trauma center because of decreased mentality. Chest computed tomography (CT) showed multiple rib fractures, aortic arch rupture, and suspicious diaphragm rupture. An intervention radiologist performed emergency thoracic endovascular aortic repair for traumatic aortic rupture. The coronal view of a follow-up abdominal CT scan revealed advanced herniation of the liver dome. The patient underwent a thoracoscopic examination and primary repair of the diaphragm injury through a thoracotomy under general anesthesia. A trauma team incidentally found traumatic diaphragm injury that would be easy to miss on routine examination and subsequently successfully managed the injury via surgical repair of the injured diaphragm without complication.(Trauma Image Proced 2016(1):23-25)

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Section: Discussionmentioning

confidence: 99%

Right-sided Diaphragm Rupture Incidentally Diagnosed by Coronal Views on Chest and Abdominal Computed Tomography

Kim

Park

Hwang

et al. 2016

Trauma Image Proced

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“…Paradoxical movements suggest complete paralysis and if symptomatic, is a strong indication of surgery. 5 In our case, eventration of left hemidiaphragm was diagnosed incidentally on clinical and radiological examination with herniation of abdominal contents into the thoracic cavity, when patient presented with chest infection. Patient was treated symptomatically and was referred to Department of Surgery for further management.…”

Section: Discussionmentioning

confidence: 99%

“…3,5 It is usually congenital but may also be acquired. 6 It is more commonly left sided with characteristically marked mediastinal displacement to the right, a feature rarely seen with paralysis of the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

Eventration of Left Hemidiaphragm Mimicking as Cavity

Kansal¹,

Jhim²,

Narayanappa³

et al. 2015

jemds

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Eventration of diaphragm is a condition in which there is abnormal elevation of the diaphragm as a result of thinning of muscular layer. It can be congenital as well as acquired. It is more common left sided. Herniation of the abdominal contents can be there. Clinical manifestations range from asymptomatic to life threatening respiratory distress requiring mechanical ventilator support. Ultrasound provides valuable information regarding the integrity of the diaphragm. Other imaging modalities include fluoroscopy, CT and MRI that provide valuable information when diagnosis is in doubt. We are presenting a case report of 25-yearold male with eventration of left hemidiaphragm mimicking as cavity. After taking detail history, examination and proper investigations we finally reached to this diagnosis.

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“…2,3 A chest tomographic scan may show evidence of a thoracic mass with phrenic nerve tumor compression by tumor. Complete radiographic resolution is usually achieved following surgical resection of the tumor if the phrenic nerve is preserved.…”

Section: Discussionmentioning

confidence: 99%