Repossini L, Bergamini C, Zanoni C E, Nanni G, Poncino A
Minerva Chir. 1980 Sep 15;35(17):1267-71.
The Authors report a case of asymptomatic right partial diaphragmatic eventration, casually discovered and surgically repaired by imbrication of the hemidiaphragm. They confirm the almost completely asymptomatic and benign character of this disease, and discuss the difficulty of the differential diagnosis with various diseases of the right cardiophrenic angle, particularly the pericardial cysts. Among the diagnostic techniques the Authors advocate the priority of the liver scanning, the echotomography, the C.A.T., the pneumoperitoneography and, in case, the celiac axis arteriography. They consider the plastic repair of the diaphragm performed by a thoracic approach to be indispensable to the confirmation of the diagnosis and, of course, to a radical therapy.
作者报告了一例无症状性右半侧膈膨升病例，该病例为偶然发现，通过对膈肌进行叠瓦状缝合手术修复。他们证实了这种疾病几乎完全无症状且为良性的特点，并讨论了与各种右心膈角疾病，尤其是心包囊肿进行鉴别诊断的困难。在诊断技术方面，作者主张优先进行肝脏扫描、超声断层扫描、计算机断层扫描、气腹造影，必要时进行腹腔动脉造影。他们认为经胸入路对膈肌进行整形修复对于确诊以及当然还有根治性治疗是必不可少的。
