Mir Mohmad Hussain, Arshad Faheem, Bagdadi Farhana Siraj, Nasir Syed Aejaz, Hajni Mubashir Rashid
Department of Internal Medicine, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.
Int J Appl Basic Med Res. 2014 Sep;4(Suppl 1):S58-60. doi: 10.4103/2229-516X.140746.
Eventration of the diaphragm is a rare condition where the muscle is permanently elevated, but retains its continuity and attachments to costal margin. In this condition, all or part of the diaphragm is largely composed of fibrous tissue with a few or no interspersed muscle fibers. It can be complete or partial. It is seldom symptomatic and often requires no treatment. We present a 70-year-old male who came with progressive breathlessness and was admitted with type 2 respiratory failure, and on evaluation was found to have complete eventration of the left diaphragm with herniation of colon and stomach in the left chest with dextrocardia. Aim of reporting this rare case is to highlight the importance of history taking, good physical examination, and imaging in the diagnosis of diaphragmatic eventration.
膈膨出是一种罕见的病症，膈肌永久性升高，但仍保持其连续性及与肋缘的附着。在此病症中，全部或部分膈肌主要由纤维组织构成，仅有少量或没有散在的肌纤维。可分为完全性或部分性。它很少有症状，通常无需治疗。我们报告一例70岁男性患者，因进行性呼吸困难前来就诊，入院时诊断为2型呼吸衰竭，经评估发现左侧膈肌完全膨出，结肠和胃疝入左胸腔并伴有右位心。报告这一罕见病例的目的是强调病史采集、全面体格检查及影像学检查在膈膨出诊断中的重要性。
