Raos Miljenko, Batinica Stipe
Specijalna bolnica za bolesti disnog sustava djece i mladezi, Srebrnjak 100, 10 000 Zagreb.
Lijec Vjesn. 2003 Jan-Feb;125(1-2):13-5.
Eventration of the diaphragm is an abnormal elevation of an intact diaphragm. There are two distinct etiologic types of eventration, congenital and acquired. Congenital eventration is characterized by muscular aplasia, and acquired eventration is caused by injury to the phrenic nerve. The one-year-old girl had recurrent respiratory inflammations and permanent cough since she was two months old. Examinations, such as chest radiogram, chest and abdominal ultrasound, liver doppler, computed tomography of thorax and abdomen, did not distinguish eventration from possible tumorous formation in the right lower lung. The eventration of the diaphragm and atelectasis of the right lower lobe was confirmed during the surgery. Diaphragmatic plication was done, and atelectactic lobe as well as hypoplastic part of the diaphragm were removed. The eventration was confirmed pathohystologically.
膈膨出是指完整的膈肌出现异常抬高。膈膨出有两种不同的病因类型,即先天性和后天性。先天性膈膨出的特征是肌肉发育不全,后天性膈膨出是由膈神经损伤引起的。这个一岁女孩自两个月大起就反复出现呼吸道炎症和持续性咳嗽。胸部X光片、胸部和腹部超声、肝脏多普勒检查、胸部和腹部计算机断层扫描等检查未能区分膈膨出与右下肺可能的肿瘤形成。手术中证实了膈膨出和右下叶肺不张。进行了膈肌折叠术,并切除了肺不张的肺叶以及膈肌发育不全的部分。病理组织学证实了膈膨出。