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Journal of General Surgery

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Research Article

Left Diaphragmatic Eventration in an Adult: A Rare Case Report

Dr. Yash Patel, Dr. Hardik Makwana, Dr. Sandeep Kansal, Dr. Jay Chokshi

Correspondence Address :

Dr Yash Patel
3rdYear Resident, Department of General Surgery,
Government Medical College,
Surat, India.

Received on: December 01, 2021, Accepted on: December 07, 2021, Published on: December 09, 2021

Citation: Yash Patel, Hardik Makwana, Sandeep Kansal, Jay Chokshi (2021). Left Diaphragmatic Eventration in an Adult: A Rare Case Report

Copyright: © 2021 Yash Patel, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

  • Abstract

Abstract

Diaphragmatic eventration is a congenital developmental defect of the muscular portion of the diaphragm. It has been attributed to abnormal myoblast migration to the septum transversum and pleuroperitoneal membrane. Diaphragmatic eventration is rare (incidence<0.05%), being more common in male. We present a rare case of 29-year-old male with congenital diaphragmatic eventration presenting an adult. The present case, though quite infrequent. The clinical features included intermittent dyspnea and abdominal pain for 3 months. The left hemithorax presented invasion of fundus of stomach and part of left lobe of liver. The treatment approach was laparoscopic diaphragmatic plication. The outcome was satisfactory. Eventration of diaphragm represents a clinical and diagnostic challenge; clinicians, radiologists and surgeons must be alert with a high degree of suspicion in order to correlate symptoms and imaging findings and understand the etiopathogenesis. 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.
Keywords: Eventration of diaphragm, Hemithorax, Diaphragmatic plication, Surgery