2013, Number 3
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Acta Pediatr Mex 2013; 34 (3)
Bilateral eventration of the diaphragm: report of a case and review of the literature
Gómez-Ruiz A, Medina-Vega FA, Tejeda-Tapia HD
Language: Spanish
References: 18
Page: 161-165
PDF size: 178.45 Kb.
ABSTRACT
Introduction. Diaphragmatic eventration is a congenital malformation
which could result in respiratory distress. A chest X-ray, shows
an elevated diaphragm. Most case reports present unilateral diaphragmatic
eventration. We report a case of an infant with bilateral
diaphragmatic elevation.
Case report. A 17 day old infant presented with respiratory distress.
With the aid of an Xray study we diagnosed a bilateral congenital
eventration of the diaphragm (BCED). A bilateral thoracotomy was
performed.
Discussion. Congenital diaphragmatic eventration represents
5% of all diaphragmatic pathology. There have been few reports
of bilateral congenital diaphragmatic eventration. We found only
nine reported cases since 1973, and only one in Mexico and
Latin America. A bilateral diaphragmatic placation in our patient
was successful.
REFERENCES
Arensman R, Bambini D. Hernia y eventración diafragmática congénita. En Ashcraft, K, editor. Cirugía Pediátrica. Philadelphia: McGraw-Hill; 2005. p. 320-38.
Rodríguez S. Patología diafragmática. En: Martínez Ferro M, Cannizzaro C, Rodríguez S, Rabasa C, editores. Neonatología quirúrgica. Buenos Aires: Grupo Guía; 2004. p. 354-5.
Wayne E, Burrington J, Meyers D. Bilateral eventration of the diaphragm in a neonate with congenital cytomegalic inclusion disease. J Pediatr. 1973; 83:164-5.
Rodgers BM, Hawks P. Bilateral congenital eventration of the diaphragms: successful surgical management. J Pediatr Surg. 1986;21:858-64.
Ehlberg J, Brok K, Pedersen S. Congenital bilateral eventration of the diaphragm in a pair of male twins. J Pediatr Surg. 1989;24:1140-1.
Ramírez Figueroa JL, Pérez Fernández LF, López Corella E, Cuevas Schacht FJ, Tapia Garibay J, Smith Sousa A, y cols. Eventración diafragmática bilateral: informe de un caso de sobrevida después de corrección quirúrgica bilateral simultánea. Bol Med Hosp Infant Mex. 1994;51:43-7.
Shimotake T, Jhimotake T, Jikihara R, Yanagihara J. Successful management of bilateral congenital eventration of the diaphragm. Pediatr Surg Int. 1995;10:173-4.
Oh A, Gulati G, Sherman ML, Golub R, Kutin N. Bilateral eventration of the diaphragm with perforated gastric volvulus in an adolescent. J Pediatr Surg. 2000;35(12):1824-6.
Takabayashi S, Yakoyama K, Shimpo H, Yada I, Mitani Y, Komada Y. Congenital bilateral diaphragmatic eventration with membranous chest wall hamartoma. Jpn J Thorac Cardiovasc Surg. 2004;52(2):101-3.
Sharma SB, Debnath PR, Tripathi R. Bilateral eventration of the diaphragm with malrotation and unilateral renal agenesis. Indian J Pediatr. 2007;74:503-4.
Sodhi KS, Narsimhan KL, Khandelwal N. Bilateral congenital diaphragmatic eventration: an unusual cause of respiratory distress in an infant. Afr J Paediatr Surg. 2011;8(2):259-60.
Jurcak Zaleski S, Comstock CH. Eventration of the diaphragm: Prenatal diagnosis. J Ultrasound Med. 1990;9:351-4.
Thomas TV. Non-paralytic eventration of the diaphragm. J Thorac Cardiovasc Surg. 1968;55:586-93.
Zoffer S, Stolar C. Eventration of the Diaphragm. En: Mattei P editor. Surgical directives: Pediatric Surgery. Philadelphia: Lippincott, Williams and Wilkins; 2003. p. 527-8.
Tracy T, Luks F. Diaphragmatic hernias and eventration. En Ziegler editor. Operative Pediatric Surgery. Philadelphia: Mc- Graw Hill; 2003. p. 495-9.
Sariban H, Cay A, Akyazici R. Congenital diaphragmatic eventration: Treatment and postoperative evaluation. J Cardiovasc Surg. 1996;37:173-6.
Flageole H. Central hypoventilation and diaphragmatic eventration: Diagnosis and management. Semin Pediatr Surg. 2003;12:38-45.
Schumpelick V, Steinau G, Schlüper I. Surgical embryology and anatomy of the diaphragm with surgical applications. Surg Clin North Am. 2000;80:213-39.