Abstract
Rupture of eventration of diaphragm is a rare entity that commonly presents as sudden onset respiratory distress. We report a case of a 7-month-old infant with congenital diaphragmatic eventration having spontaneous diaphragmatic rupture which led to secondary diaphragmatic herniation with gastric volvulus. Clinical diagnosis of gastric volvulus was suspected on the basis of imaging and failed entry of nasogastric tube into stomach. Exploratory laparotomy revealed rupture of eventration of diaphragm and gastrothorax with volvulus. Anatomical repair of diaphragmatic perforation followed by diaphragmatic plication resulted in successful outcome in our patient.
Highlights
Eventration of diaphragm has a varied presentation ranging from asymptomatic to severe respiratory distress in newborns requiring mechanical ventilatory support
We present an infant with spontaneous diaphragmatic eventration rupture resulting in gastrothorax and gastric volvulus
Eventration of diaphragm was identified as the underlying cause for recurrent lower respiratory tract infections but the parents had not consented for surgical intervention
Summary
Eventration of diaphragm has a varied presentation ranging from asymptomatic to severe respiratory distress in newborns requiring mechanical ventilatory support. Presentation of with gastric volvulus or intestinal obstruction is unusual.[1,2] Spontaneous rupture of eventration of diaphragm is rarely reported in English literature.[3,4] We present an infant with spontaneous diaphragmatic eventration rupture resulting in gastrothorax and gastric volvulus. At the age of three months, baby was diagnosed as a case of left diaphragmatic eventration on routine chest X-ray while undergoing evaluation of recurrent lower respiratory tract infection at a peripheral hospital.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
