1/14. Right diaphragmatic eventration associated with intralobar pulmonary sequestration: a case report.A case of right diaphragmatic eventration, associated with a lung sequestration, in a 7-month-old infant is presented. failure to thrive was the initial symptom. X-ray of the chest, made because of mild respiratory distress, revealed an inhomogeneous opacification of the right lower hemithorax, suggesting a diaphragmatic hernia. A right thoracotomy was performed and a diaphragmatic eventration covered by a thick pleuroperitoneal membrane was found, together with sequestration of the lung. The pathologic findings and the embryology are discussed.- - - - - - - - - - ranking = 1keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
2/14. Split cord malformation with partial eventration of the diaphragm. Case report.The authors describe the case of a 3-year-old girl who presented with a dorsal split cord malformation (SCM) and was found to have eventration of the diaphragm. Although the child did not undergo surgery for eventration, its presence suggests a need for careful preoperative planning and clinical evaluation to rule out or confirm the anomalies associated with spinal dysraphism or SCM.- - - - - - - - - - ranking = 0.13228125459809keywords = eventration (Clic here for more details about this article) |
3/14. Incarcerated diaphragmatic hernia secondary to plication for eventration of diaphragm.Diaphragmatic plication is the procedure of choice for congenital diaphragmatic eventration. In the absence of complications, most newborns with eventration do well after plication and have normal long-term respiratory functions. However complications are rare. recurrence, ipsilateral pneumothorax and rupture of the diaphragm have been reported in literature. We report a case of incarcerated diaphragmatic hernia in a two-year-old child who had undergone plication for eventration of the diaphragm at six months of age.- - - - - - - - - - ranking = 0.29894792126476keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
4/14. Multiple ipsilateral congenital diaphragmatic pathologies: rarities to consider.BACKGROUND: Bilaterality of congenital diaphragmatic pathologies is well documented in the English literature. Nevertheless, ipsilateral simultaneous congenital diaphragmatic pathologies, though rare, are worth revisiting to shed more light into their embryology and management. methods: A review of the literature for reported cases of multiple ipsilateral congenital diaphragmatic pathologies was performed. Their findings, management and outcomes were classified and reviewed, in addition to reporting and comparison with a new case from our medical center. RESULTS: Two patients were adult females with multiple defects in the right central tendon of the diaphragm. The remaining four were all pediatric cases. Two had double congenital hernial defects on the same side and two had the defect associated with ipsilateral diaphragmatic eventration. Our case is the third one with diaphragmatic eventration, but the first being associated with a posterolateral defect on the same side. Its presentation with acute rectal bleeding proved difficult to diagnose. CONCLUSION: There are various postulated theories concerning the pathogenesis of ipsilateral pathologies during embryologic development of the diaphragm. Management of asymptomatic congenital eventrations remains debatable. However, when symptoms become apparent, ipsilateral defects though rare, should be considered and prompt surgical management through a thoracotomy or laparotomy approach is recommended.- - - - - - - - - - ranking = 0.35538020909968keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
5/14. prenatal diagnosis of congenital diaphragmatic eventration by magnetic resonance imaging.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.- - - - - - - - - - ranking = 1.0220468757663keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
6/14. Thoracoscopic diaphragmatic eventration repair in children: about 10 cases.BACKGROUND AND AIM: Recent reports in literature have emphasized the clinical perception of reduced pain, postoperative morbidity, and dysfunction associated with thoracoscopic approach compared with standard thoracotomy. The authors describe a thoracoscopic approach and technical details for diaphragmatic eventration repair in children. patients AND methods: Ten patients, 4 girls and 6 boys, 1 teenager (14 years old) and 9 children (age range, 6-41 months; average, 17 months), were operated for a diaphragmatic eventration in 3 different pediatric surgery teams, according to the same technique. Symptoms were recurrent infection (7 cases), dyspnea on exertion (2 cases), and a rib deformity (1 case). An elective thoracoscopy was performed, patient in a lateral decubitus. A low carbon dioxide insufflation allowed a lung collapse. Reduction of the eventration was made progressively when folding and plicating the diaphragm. Plication of the diaphragm was done with an interrupted suture (6 cases) or a running suture (4 cases). The procedure finished either with an exsufflation (4 cases) or a drain (6 cases). RESULTS: A conversion was necessary in 2 cases: 1 insufflation was not tolerated and 1 diaphragm, higher than the fifth space, reduced too much the operative field. patients recovered between 2 and 4 days. dyspnea disappeared immediately. Mean follow-up of 16 months could assess the clinical improvement in every patient. DISCUSSION: Thoracoscopic conditions are quite different between a diaphragmatic hernia repair previously reported and an eventration. Concerning diaphragmatic hernias, reduction is easy, giving a large operative space for suturing the diaphragm. Concerning diaphragmatic eventrations, the lack of space remains important at the beginning of the procedure despite the insufflation into the pleural cavity. The operative ports must be high enough in the chest to allow a good mobility of the instruments. Chest drainage seems to be unnecessary. CONCLUSION: diaphragmatic eventration repair by thoracoscopy is feasible, safe, and efficient in children. Above all, it avoids a thoracotomy. It improves the immediate postoperative results with a good respiratory function.- - - - - - - - - - ranking = 1.2328072939657keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
7/14. Congenital cystic adenomatoid malformation associated with ipsilateral eventration of the diaphragm.A two-month-old girl was operated for a left-sided eventration of the diaphragm. At surgery, a mass representing an extralobar pulmonary sequestration (EPS) was found inferior to the left lobe of the lung and was excised. Histopathological examination of the resected specimen showed presence of a type II congenital cystic adenomatoid malformation (CCAM) within it. A review of the relevant literature is presented.- - - - - - - - - - ranking = 0.11023437883174keywords = eventration (Clic here for more details about this article) |
8/14. Anaesthesia for repair of neonatal diaphragmatic hernia and eventration: role of ketamine infusion.Management of neonates with congenital diaphragmatic defects who have symptoms within hours of birth is still unsatisfactory. The mortality reported for these high-risk infants ranges from 20% to 80%. Anaesthesia for repair of these defects is nonetheless the most perilous phase in these conditions. Surgery often worsens the situation with regard to blood gases. The anaesthesia has to fulfil the criteria for neonatal surgery and thoracic surgery with the added components of elevated pulmonary vascular resistance and pulmonary hypoplasia. The mortality figures are worse if there is lack of a proper neonatal intensive care facility. The management of two such cases is discussed with special stress upon use of the ketamine infusion technique as an alternative safe anaesthetic regime.- - - - - - - - - - ranking = 0.088187503065394keywords = eventration (Clic here for more details about this article) |
9/14. Bilateral anteromedial defect of the diaphragm in children.Four cases are reported, along with a review of the literature, to demonstrate the radiographic and clinial spectrum of bilateral anteromedial defect of the diaphragm in infants and children. Bilateral anteromedial defect of the diaphragm produces a characteristic radiographic pattern on herniation of abdominal structures through a single midline opening. The usually solid herniated structures elevate the heart and thymus producing a three-tiered snowman appearance. The lateral chest view substantiates the anterior location differentiating anteromedial herniation from eventration, partial or complete. Diagnosis can be confirmed by pneumoperitoneography but the high incidence of liver herniation allows less invasive determination by radionuclide scanning. While many patients will be asymptomatic, clinical symptoms can be severe due to pulmonary compression and hypoplasia or associated cardiovascular abnormalities.- - - - - - - - - - ranking = 0.022046875766349keywords = eventration (Clic here for more details about this article) |
10/14. Right diaphragmatic eventration simulating a congenital diaphragmatic hernia.We describe an infant with severe eventration of the right diaphragm and pulmonary hypoplasia who presented like a newborn with congenital diaphragmatic hernia complicated by persistent pulmonary hypertension. Surgical correction while on extracorporeal life support was unsuccessful due to attachments of the liver which prevented reduction into the abdominal cavity and our inability to distinguish the true defect from complete agencies of the right hemidiaphragm. At autopsy the pulmonary remnant and the fibrous membrane separating it from the liver were identified.- - - - - - - - - - ranking = 0.68871354243302keywords = diaphragmatic eventration, eventration (Clic here for more details about this article) |
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