Mantoo S K, Mak K
Department of Surgery, Alexandra Hospital, Singapore.
Singapore Med J. 2007 May;48(5):e136-7.
Eventration of the diaphragm is a rare condition where the muscle is permanently elevated, but retains its continuity and attachments to the costal margins. It is seldom symptomatic and often requires no treatment, but may be confused with a traumatic rupture of the diaphragm. We present a 51-year-old man with previously-undiagnosed congenital eventration, mimicking traumatic rupture of the diaphragm. The role of clinical examination, imaging and diagnostic laparoscopy to differentiate between eventration and traumatic rupture of the diaphragm are discussed.
膈膨出是一种罕见的病症，膈肌永久性抬高，但仍保持其连续性及与肋缘的附着。它很少有症状，通常无需治疗，但可能会与外伤性膈肌破裂相混淆。我们报告一名51岁男性，此前未诊断出先天性膈膨出，临床表现酷似外伤性膈肌破裂。本文讨论了临床检查、影像学检查及诊断性腹腔镜检查在鉴别膈膨出与外伤性膈肌破裂中的作用。
