Hong Michelle K, Han Albert Y, Long Jennifer L
Head and Neck Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Surgery and Perioperative Medicine, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, USA.
Cureus. 2022 Apr 24;14(4):e24430. doi: 10.7759/cureus.24430. eCollection 2022 Apr.
Intractable hiccups are a rare yet debilitating pathology with a broad differential and often indicate a more serious underlying pathology, which can range from neoplasms to structural abnormalities. In this case report, we present a 64-year-old male with seven months of intractable hiccups determined to be caused by eventration of the right hemidiaphragm. The patient was treated with baclofen to treat the hiccups pharmacologically. He was also prescribed voice therapy to establish rescue breathing techniques and reduce laryngospasm. Finally, he was referred to thoracic surgery for further evaluation and potential surgical intervention should his diaphragmatic eventration worsen or cause hypoxemia. To our knowledge, this is the first reported case of an association between diaphragmatic eventration and intractable hiccups. It is important to highlight this addition to the broad differential of intractable hiccups and to emphasize an interdisciplinary approach to workup and treatment of intractable hiccups.
顽固性呃逆是一种罕见但使人衰弱的病症，鉴别诊断范围广泛，通常提示存在更严重的潜在病症，其范围可从肿瘤到结构异常。在本病例报告中，我们介绍了一名64岁男性，他持续7个月的顽固性呃逆经诊断是由右半膈膨升引起的。该患者接受了巴氯芬治疗以从药理学角度治疗呃逆。他还接受了嗓音治疗，以建立急救呼吸技术并减少喉痉挛。最后，如果他的膈膨升情况恶化或导致低氧血症，他被转诊至胸外科进行进一步评估及可能的手术干预。据我们所知，这是第一例报告的膈膨升与顽固性呃逆相关的病例。重要的是要强调这一新增至顽固性呃逆广泛鉴别诊断中的情况，并强调对顽固性呃逆进行检查和治疗时采用多学科方法。
