Foramen of Morgagni hernia diagnosed by liver scan. (1/21)

A case of foramen of Morgagni hernia (partial eventration of the right diaphragm) containing liver was diagnosed by hepatic scintiphotography. Diagnostic pneumoperitoneum has been recommended as the procedure of choice in the past. It is suggested that this be replaced by liver scaning. The similarity between eventration of the right diaphragm and foramen of Morgagni hernia is discussed.  (+info)

Thoracoscopic repair of eventration of diaphragm. (2/21)

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)

Congenital diaphragmatic eventration in a stillborn foal. (3/21)

A stillborn full term foal was presented at necropsy. The dilated duodenum and the dorsal and ventral left colon and cecum extended into the thoracic cavity and were encased by a thin transparent membrane originating from the diaphragm. The congenital condition was diagnosed as a developmental anomaly with diaphragmatic eventration. To the authors' knowledge, this is the first report of diaphragmatic eventration in a Thoroughbred stillborn foal.  (+info)

Volvulus complicating dextrogastria in an infant. (4/21)

We report eventration of right hemi-diaphragm resulting in gastric volvulus of the right sided stomach in an infant. The diagnosis of this rare association was made with contrast CT scan. Patient was initially managed with reduction of stomach, plication of right hemi diaphragm, anterior gastropexy and Ladds procedure, but required re-laparotomy after two months for recurrent volvulus.  (+info)

Pleural and pericardial effusion: a potential ultrasonographic marker for the prenatal differential diagnosis between congenital diaphragmatic eventration and congenital diaphragmatic hernia. (5/21)

OBJECTIVES: To determine whether or not the presence of pleural and/or pericardial effusion can be used prenatally as an ultrasonographic marker for the differential diagnosis between diaphragmatic eventration and diaphragmatic hernia. METHODS: We present two case reports of non-isolated diaphragmatic eventration associated with pleural and/or pericardial effusion. Additionally, we reviewed the literature for all cases of congenital diaphragmatic hernia (CDH) and diaphragmatic eventration that met the following criteria: (1) prenatal diagnosis of a diaphragmatic defect and (2) definitive diagnosis by autopsy or surgery. The frequencies of pleural effusion, pericardial effusion and hydrops were compared between the two conditions using Fisher's exact test. A subanalysis was conducted of cases with isolated diaphragmatic defects (i.e. diaphragmatic defects not associated with hydrops and other major structural or chromosomal anomalies). RESULTS: A higher proportion of fetuses with diaphragmatic eventration had associated pleural and pericardial effusions compared with fetuses with diaphragmatic hernia (58% (7/12) vs. 3.7% (14/382), respectively, P < 0.001). This observation remained true when only cases of diaphragmatic defects not associated with hydrops and other major structural or chromosomal anomalies were compared (29% (2/7) with eventration vs. 2.2% (4/178) with CDH, P < 0.02). CONCLUSIONS: The presence of pleural and/or pericardial effusion in patients with diaphragmatic defects should raise the possibility of a congenital diaphragmatic eventration. This information is clinically important for management and counseling because the prognosis and treatment for CDH and congenital diaphragmatic eventration are different. Published by John Wiley & Sons, Ltd.  (+info)

Congenital diaphragmatic eventration in an adult: a diagnostic dilemma. (6/21)

Eventration of the diaphragm is a rare condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. It is seldom symptomatic and often requires no treatment, but may be confused with a traumatic rupture of the diaphragm. We present a 51-year-old man with previously-undiagnosed congenital eventration, mimicking traumatic rupture of the diaphragm. The role of clinical examination, imaging and diagnostic laparoscopy to differentiate between eventration and traumatic rupture of the diaphragm are discussed.  (+info)

Congenital unilateral lower lip palsy and eventration of diaphragm. (7/21)

Congenital unilateral lower lip palsy is a rare but well-known limited variation of congenital unilateral facial palsy. We report a three-month-old boy with diaphragmatic eventration and isolated lower lip palsy, a combination that to our knowledge, has not been described before. Probable causes of this combination of multiple congenital malformations, in this case, could be due to nonrandom and heterogeneous mutations. The diaphragmatic eventration was treated successfully.  (+info)

Thoracoscopic diaphragmatic plication using three 5 mm ports. (8/21)

Thoracoscopic plication is the most effective treatment for diaphragmatic enventration. However, the conventional thoracoscopic plication procedure introduced by Mouroux in 1996 has some disadvantages. We improved and simplified the Mouroux technique with the patient in the head up position, CO(2) insufflations and figure-of-eight sutures. These were possible to perform by pure thoracoscopic surgery using three 5 mm ports without the requirement for open thoracotomy.  (+info)