Eur J Pediatr Surg. There are four types of congenital diaphragmatic defects: Since then, about cases have been reported [ 7 ]. The result is decreased respiratory mobility or paradoxical movement, causing poor lung expansion and hypoxia [ 13 ]. Diaphragmatic eventration is a rarely seen asymptomatic pathology, which is generally diagnosed incidentally Incentive spirometry and deep breathing exercises were started with resolution of the atelectasis after 1 week post-operatively.
The incidence of intrathoracic kidneys associated with diaphragmatic defects is 0. The renal vasculature and the ureter entered and exited the thorax through the foramen of Bochdalek. In addition, they should plan an adequate and individualized surgical repair making use, as far as possible, of the minimally invasive procedures that are currently used. Computed tomography showed the intestine, mesentery, colon, and kidney inside the right hemithorax Figures 1 — 6 ; uniform and continuous diaphragmatic elevation throughout the hemithorax Figures 5 and 6 ; discrete mediastinal displacement caused by the right kidney Figure 3 ; and hepatic displacement towards the left hemiabdomen causing gastric compression Figure 4. Both thoracic cavities were extremely constricted Figure 1. Multiple imaging modalities are available for the pre-operative diagnosis of diaphragmatic problems.
Case Reports in Surgery
Surgical repair of congenital diaphragmatic eventration in a septugerian lady. Our patient was treated chronically for bronchial asthma, with episodes of seizures and recurrent bronchial infections. Preliminary investigation of the prosecutor evaluated the case as a suspect death, and sent the corpse to our institute for autopsy. The result is decreased respiratory mobility or paradoxical movement, causing poor lung expansion and hypoxia [ 13 ].
Diaphragmatic Eventration: Autopsy Case Report
stuvy Plication was done using 2 layered imbricated vertical mattress sutures. On physical examination there were decreased breath sounds in the left thorax with note of gurgling bowel sounds.
No radiologic evidence of gastric volvulus was noted Fig. The outcome was satisfactory. Among symptomatic patients, the most common symptom is dyspnea. It is useful to perform the tests in the evenfration and supine positions. It is also believed that alterations in the development of adrenal glands and the liver can vary the position of the kidney [ 910 ].
The difference between diaphragmatic hernia and eventration is important; in the latter, there is no true defect. This paper did not require an ethical approval since it is retrospective case report in nature.
Impression was diagrammatic hernia versus eventeration. Simple cases of diaphragmatic eventration may not require intervention when not associated with adverse symptoms. The ureter was long to reach the excessive bladder distance eventrstion did not enter ectopically [ 2935 ]. We aimed to discuss rarely encountered diaphragmatic eventration in autopsy practice from a perspective of forensic medicine. The overall cause of death of the diaphrgamatic patient was reported as heart failure.
Plication was done with 1st layer of imbricating silk heavy sutures buttressed by a second layer of interrupted absorbable sutures. This results in the immobilization of the plicated diaphragm and reduction of the paradoxical movement and contralateral mediastinal involvement [ 25 ].
I have no conflict of interest, this paper was not funded and all of the evenhration and expenses in the making of this paper is purely voluntary in nature. We highlight the importance of good physical examination and judicious use of imaging modalities among patients suspected of diaphragmatic eventeration.
Congenital unilateral diaphragmatic eventration in an adult: A rare case presentation
Axial section with the kidney in a posterior position and mild mediastinal compression. In the general population, the frequency of ectopy is reported to range from 0. Diaphragmatic plication, Diaphragmatic exenteration, Atelectasis. The etiology of renal ectopia can encompass infectious problems such as schistosomiasis or pathologies prevalent in northern Peru, studu as malaria [ 919 ].
It can be unilateral or bilateral, but it usually involves the left hemidiaphragm . This was safely performed given the proximity of the peritoneal viscera Figure 9. Our case is not common, as it refers to an adult woman with a right thoracic kidney and is associated with diaphragmatic eventration type 2. Open in a separate window.
The kidney in the posterior view.