Abstract
BackgroundWe present a case of a 79 year old Caucasian Greek female with multiple acute and chronic diseases that in conjunction led to a critical condition.Case presentationShe had a chronic iatrogenic diaphragmatic eventration, chronic severe kyphoskoliosis and an acute thoracic trauma due to a falling. We decided to perform an operation for the diaphragmatic eventration and the flail chest on this patient in the hope of improving her respiratory capacity.ConclusionManaging one chronic (eventration) and one acute (flail chest) thoracic disorder would restore normal mechanical properties of the thoracic cavity, although none of these diseases would be managed surgically as separate entities.
Highlights
We present a case of a 79 year old Caucasian Greek female with multiple acute and chronic diseases that in conjunction led to a critical condition.Case presentation: She had a chronic iatrogenic diaphragmatic eventration, chronic severe kyphoskoliosis and an acute thoracic trauma due to a falling
We present a case of a late iatrogenic diaphragmatic eventration in a previously mildly symptomatic female patient complicated by severe thoracic trauma, after a falling while riding a donkey, which lead to bilateral pulmonary contusion, flail chest of the left hemithorax and a gradual onset of respiratory failure which lead to intubation in 24 hours
We faced with a case of an old female with severe kyphoskoliosis and iatrogenic diaphragmatic eventration years after an abdominal operation
Summary
Eventration, meaning out of (E) the belly (VENTER), is a condition where all or a portion of one hemidiaphragm is permanently elevated yet retains its continuity and normal attachments to the costal margins. It can be a congenital disorder of the infantile or adult type, or a sequelae of acquired disorders with intact or abnormal phrenic nerve conduction velocity The latter is usually a result of posttraumatic or postoperative conditions, neuromuscular or infectious disorders, malignancies of the lung or mediastinum and rarely idiopathic.[1] We present a case of a late iatrogenic diaphragmatic eventration in a previously mildly symptomatic female patient complicated by severe thoracic trauma, after a falling while riding a donkey, which lead to bilateral pulmonary contusion, flail chest of the left hemithorax and a gradual onset of respiratory failure which lead to intubation in 24 hours. CT scan on discharge disclosed a good operative result. (Fig. 2)
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