Abstract
OBJECTIVES: To report the case of an infant with diaphragmatic eventration diagnosed during the investigation of acute respiratory infection. In asymptomatic patients, management is conservative. METHODS: Review of institutional electronic medical records. RESULTS: A 1-year and 6-month-old patient seen in the emergency room with a history of fever for three days. During the investigation, infectious screening was performed, including chest radiography, which showed an elevation of the left diaphragmatic dome. Previous history of an episode of bronchiolitis without radiographic indication. He has no recurrent respiratory complaints or changes in pulmonary auscultation. After altering the radiological examination, a chest tomography was requested for better clarification and monitoring of the case. CONCLUSION: Eventration can be associated with other malformations and has a wide and variable clinical profile, from asymptomatic patients, with recurrent respiratory infections, to pulmonary hypoplasia. As most cases are asymptomatic, the conduct is generally conservative. If surgical intervention is necessary, it aims at the volumetric increase of the lungs and the reversal of atelectasis.
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