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表现为复发性膈疝的膈膨升

Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia.

作者信息

Shwaartz C, Duggan E, Lee D S, Divino C M, Chin E H

机构信息

Icahn School of Medicine at Mount Sinai , New York , US.

出版信息

Ann R Coll Surg Engl. 2017 Sep;99(7):e196-e199. doi: 10.1308/rcsann.2016.0342.

DOI:10.1308/rcsann.2016.0342
PMID:28853592
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5697023/
Abstract

Diaphragmatic eventration is an uncommon condition, usually discovered incidentally in asymptomatic patients. Even in symptomatic patients, the diagnosis can be challenging and should be considered among the differential diagnoses of diaphragmatic hernia. The correct diagnosis can often only be made in surgery. We describe the case of a 31-year-old patient with diaphragmatic eventration that was misdiagnosed as a recurrent congenital diaphragmatic hernia and review the corresponding literature.

摘要

膈膨出是一种罕见的病症,通常在无症状患者中偶然发现。即使在有症状的患者中,诊断也可能具有挑战性,并且应在膈疝的鉴别诊断中予以考虑。正确的诊断通常只能在手术中做出。我们描述了一名31岁膈膨出患者被误诊为复发性先天性膈疝的病例,并回顾了相关文献。

相似文献

1
Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia.表现为复发性膈疝的膈膨升
Ann R Coll Surg Engl. 2017 Sep;99(7):e196-e199. doi: 10.1308/rcsann.2016.0342.
2
Left diaphragmatic eventration diagnosed as congenital diaphragmatic hernia by prenatal sonography.产前超声检查诊断为先天性膈疝的左侧膈膨升。
J Clin Ultrasound. 2003 May;31(4):214-7. doi: 10.1002/jcu.10157.
3
[Congenital diaphragmatic eventrations in children. Nosological and diagnostic problems with phrenic paralyses, right hernias and retro-costo-xiphoid hernia. Apropos of 16 cases].
Ann Radiol (Paris). 1987;30(1):47-59.
4
Congenital diaphragmatic eventration and hernia sac compared to CDH with true defects: a retrospective cohort study.先天性膈疝囊与膈膨升的对比:一项回顾性队列研究。
Eur J Pediatr. 2020 Jun;179(6):855-863. doi: 10.1007/s00431-020-03576-w. Epub 2020 Jan 22.
5
Congenital eventration of the diaphragm in infancy.
N C Med J. 1970 Jan;31(1):9-13.
6
Ultrasound evaluation of right diaphragmatic eventration and hernia.超声评估右侧膈膨升和膈疝。
Pediatr Radiol. 2019 Jul;49(8):1010-1017. doi: 10.1007/s00247-019-04417-1. Epub 2019 May 28.
7
[Abdominal pain and vomiting: a 4-year old boy with relaxation of diaphragm].[腹痛与呕吐:一名患有膈肌松弛的4岁男孩]
Ned Tijdschr Geneeskd. 2001 Aug 11;145(32):1562-4.
8
Pleural and pericardial effusion: a potential ultrasonographic marker for the prenatal differential diagnosis between congenital diaphragmatic eventration and congenital diaphragmatic hernia.胸腔和心包积液:先天性膈膨出与先天性膈疝产前鉴别诊断的潜在超声标志物。
Ultrasound Obstet Gynecol. 2007 Apr;29(4):378-87. doi: 10.1002/uog.3958.
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Congenital diaphragmatic hernia with ipsilateral eventration: a report of two cases.先天性膈疝伴同侧膈膨升:两例报告
Surg Today. 1996;26(9):751-3. doi: 10.1007/BF00312101.
10
Gastric volvulus in children: lessons learned from delayed diagnoses.儿童胃扭转:从延迟诊断中吸取的教训
Semin Pediatr Surg. 2009 May;18(2):98-103. doi: 10.1053/j.sempedsurg.2009.02.007.

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Ultrasonographic diagnosis of secondary cardiac position alterations led by fetal thoraco-abdominal anomalies: a report of three cases.胎儿胸腹部异常导致继发性心脏位置改变的超声诊断:三例报告
Transl Pediatr. 2025 Jan 24;14(1):153-160. doi: 10.21037/tp-22-198. Epub 2025 Jan 20.
2
Symptoms Arising From the Diaphragm Muscle: Function and Dysfunction.膈肌引发的症状:功能与功能障碍
Cureus. 2024 Jan 29;16(1):e53143. doi: 10.7759/cureus.53143. eCollection 2024 Jan.
3
Laparoscopic approach in the management of diaphragmatic eventration in adults: gastrointestinal surgical perspective.腹腔镜技术在成人膈膨升治疗中的应用:胃肠外科视角。
Updates Surg. 2024 Apr;76(2):555-563. doi: 10.1007/s13304-023-01665-7. Epub 2023 Oct 17.
4
Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation-Diagnostic and Treatment Difficulties: A Case Report.生长性肝脏作为非典型复发性膈疝的表现——诊断和治疗难点:一例报告
Pediatr Rep. 2022 Mar 11;14(1):140-146. doi: 10.3390/pediatric14010020.
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Heart on the left, diaphragm on the right: A case of congenital diaphragmatic eventration.心脏在左侧,横膈膜在右侧:一例先天性膈膨升病例。
Clin Case Rep. 2021 Nov 22;9(11):e05068. doi: 10.1002/ccr3.5068. eCollection 2021 Nov.

本文引用的文献

1
Video-assisted minimally invasive diaphragmatic plication: feasibility of a recognized procedure through an uncharacteristic hybrid approach.电视辅助微创膈折叠术:通过非典型混合方法实施公认手术的可行性
Surg Endosc. 2017 Apr;31(4):1772-1777. doi: 10.1007/s00464-016-5171-8. Epub 2016 Aug 12.
2
Eventration of the diaphragm presenting as spontaneous pneumothorax.
Cleve Clin J Med. 2016 Jan;83(1):19-20. doi: 10.3949/ccjm.83a.14175.
3
Eventration of diaphragm in adults: eleven years experience.成人膈肌膨出:十一年经验
J Ayub Med Coll Abbottabad. 2014 Oct-Dec;26(4):459-62.
4
Diaphragmatic eventration presenting with sudden dyspnoea.以突发呼吸困难为表现的膈膨升。
BMJ Case Rep. 2013 Apr 17;2013:bcr2013008613. doi: 10.1136/bcr-2013-008613.
5
Congenital eventration of hemidiaphragm in an adult.成人先天性横膈膨出。
Ann Thorac Surg. 2012 Dec;94(6):e137-9. doi: 10.1016/j.athoracsur.2012.06.032.
6
Diaphragmatic eventration.膈膨升。
Thorac Surg Clin. 2009 Nov;19(4):511-9. doi: 10.1016/j.thorsurg.2009.08.003.
7
Eventration of the diaphragm.膈膨出
Thorax. 1959 Dec;14(4):311-9. doi: 10.1136/thx.14.4.311.