| diaphragmatic eventration is a rare abnormality, which has the similar ultrasonographic features to congenital diaphragmatic hernia. Therefore, these two diseases are difficult to differentiate from each other prenatally. We present here a case in which the presence of congenital diaphragmatic eventration was strongly suggested by magnetic resonance imaging (MRI) and ultrasonography. A 26-year-old pregnancy woman, gravida 0, para 0, week 35, was admitted to our hospital with an ultrasonographic abnormality of the fetal thorax. MRI and ultrasonography showed interesting features which strongly suggested the presence of congenital diaphragmatic eventration and helped to differentiate it from congenital diaphragmatic hernia. ( info) |
12/80. lung agenesis in a neonate presenting with contralateral mediastinal shift. A neonate with right lung agenesis presenting with respiratory distress is described. The unusual radiological features were contralateral mediastinal shift (in contrast to expected ipsilateral shift) and diaphragmatic eventration on the affected side. Mediastinal shift to the opposite side was due to intrathoracic hepatic herniation under a high placed eventrated diaphragm. Both these features have not been reported in association with lung agenesis to date. The authors have discussed other causes of respiratory distress in newborns that can cause mediastinal shift and have urged a high degree of clinical suspicion to pick up the cases with lung agenesis. The newer diagnostic modalities and the causes of mortality in neonates with this anomaly have also been highlighted. ( info) |
13/80. Combination of diaphragmatic eventration and microphthalmia/anophthalmia is probably nonrandom. Two sporadic cases of eventration of the diaphragm are reported; one had bilateral colobomatous microphthalmia and the other had anophthalmia. Absence of polydactyly and presence of eventration rather than diaphragmatic hernia helped to exclude Fryns syndrome. These cases together with published cases with overlapping features support the thesis that this combination of defects is nonrandom and of heterogeneous cause. Some cases are due to a pleiotropic gene defect. In other cases, a polytypic developmental field involving an unknown developmental cascade common to the eye and diaphragm may provide a basis for the combination. ( info) |
14/80. Video-assisted repair of an eventrated left hemidiaphragm. Video-assisted thoracoscopic surgery is emerging as a viable approach to increasingly complex intrathoracic therapeutic procedures. Here, we present a case of eventrated left hemidiaphragm caused by a blunt trauma in an elderly man. The diaphragm was repaired successfully using a video-assisted procedure, thus giving the patient the advantages of a minimally invasive operation. ( info) |
15/80. Radiographic appearances following the Thal procedure. The Thal procedure for repair of distal esophageal stricture is described briefly and the radiographic appearance is ilustrated. The radiologist should be aware of the procedure to avoid confusing the post-operative appearance with a para-esophageal hiatus hernia or diaphragmatic eventration. ( info) |
16/80. Gastric rupture associated with pregnancy. BACKGROUND: Spontaneous gastric rupture during pregnancy is rare. CASE: A young primigravida delivered a 34-week stillborn infant. Shortly after delivery, she developed signs of hypovolemic shock. Ultrasound examination showed a large amount of free intra-abdominal fluid. At laparotomy, gastric rupture was encountered and repaired. Congenital eventration of the left hemidiaphragm was also noted. After a complicated postoperative course, the patient recovered and has done well. CONCLUSION: Rapid surgical intervention for gastric rupture associated with pregnancy is necessary for maternal survival. ( info) |
17/80. A simple technique for the thoracoscopic plication of the diaphragm. We describe a simple technique for video-assisted thoracoscopic plication in patients with diaphragmatic eventration. During the plication, which is performed with a continuous running suture, a surgical assistant maintains the continuous suture traction using a homemade hook through the port. The technique can be performed easily, without any kind of thoracotomy. ( info) |
| This is a report of a 10-day-old term female infant with right diaphragmatic eventration in whom the initial diagnosis was right pleural effusion with probable ipsilateral lung hypoplasia. The diagnostic pitfalls in such a case and suggestions of how to avoid them are discussed. ( info) |
| Neonatal marfan syndrome, the most severe presentation of marfan syndrome phenotypes (MIM 154700), is characterised mainly by joint contractures, arachnodactyly, loose skin, crumpled ears, severe atrioventricular valve dysfunction and pulmonary emphysema. death usually occurs within the first 2 years of life from congestive heart failure. We describe here a newborn male with many typical characteristics of neonatal marfan syndrome associated with a diaphragmatic eventration and a bilateral uretero-hydronephrosis with bladder dilatation. He died from cardiac failure due to severe tricuspid and mitral regurgitation at 62 h of age. CONCLUSION: Molecular analysis showed a heterozygous missense mutation at nucleotide 3165 (3165T>G) in exon 25 of the FBN1 gene, resulting in the substitution of cysteine for tryptophan (C1055W). ( info) |
20/80. Thoracoscopic repair of eventration of diaphragm. pen thoracotomy and plication of eventration of diaphragm leads to hypoventilation due to pain and lung contusion due to retraction. We present two cases, 8 month and 4 years old; in whom plication was done thoracoscopically. Both had smooth recovery, early extubation and excellent cosmetic result. ( info) |