Abstract
The eventration of diaphragm is a rare entity characterized by uniform elevation of part or parts of both hemi-diaphragms associated with ascent of abdominal organs like intestine showing haustrations under the diaphragm. We report a case of 37 year old lady, mother of two children, who presented with pain in lower chest and epigastrium, cough with mild expectoration and with other GIT symptoms. Fluroscopic examination showed absence of paradoxical movements of diaphragm on left side and CECT revealed smooth elevation of diaphragm and upward shift of the abdominal viscera under the diaphragm. Radiological, fluroscopic and CECT findings helped us to diagnose the patient as a case of eventration of left diaphragm.
Keywords: Diaphragmatic eventration, Sniff Test, Fluroscopy, C.E.C.T.
References
- Kulkarni ML, Sneharoopa B,Vani HN, Eventeration of the diaphragm and associations. Indian J Pediatr 2007; 74:202-5
- Petit-JL. Traite Des maladies Chirurgicaleset. des operations qui leirconviennt. Over age posthume .de L Petit Vol 2, (revised) Paris meguinon, 1760 page 233.
- gray S W,Ricketts R: The diaphragm. In skandalakisJ.e gray SW (eds) Embryology for surgeons . Baltimore diagnosis of partial eventration as diaphragm is seen as thin continuous layer above the elevated abdominal viscera10.The treatment for the troublesome symptoms is surgical: Williams and Wilkins 1994, PP.491-539.
- Thomas, T.V. Congenital eventration of diapharagm. Thoracic Surg. 1970; 10: 180-92
- Seaton, A., Seaton, D., Leitch, A. G., Seatan, A. Abonormalties and diseases of Diaphragm. In : Editors Crofton and dougla's Respiratory diseases:- 5th Blackwell science, oxford, 2000; 1234-49
- Chin, E. F., Lynn, R. B. Surgery of Eventration of Diaphragm. Indians Med. 1986; 84: 187
- Salton, D., Editor.Text Book of Radiology and imaging; 7thEdition ; vol. 1 London: church livingstone; 2003 : pp 51-2
- Paulchristensen Eventration of Diaphragm Thorax.BMJ. 3,1959
- Gierada, D. S., Scone, R. M., Fleishman, M. J. Imaging evaluation of Diaphragm. Chest Surgclinc North America 1998; 8: 237-80
- Larson, R. K., Evans, B. H. Eventration of the diaphragm. American review Respiratory dis. 1963; 87: 75
- Kansal, A. P. Et.al Right Sided Diaphragmatic Eventeration: A rare Entity. Lung India 2009; 26 issue 2
Corresponding Author
Kulbir Singh