Volume 11, Issue 2 (8-1997)                   Med J Islam Repub Iran 1997 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

SADEGHlAN N, KIELY E. EVENTRATION OF THE DIAPHRAGM: A 10- YEAR EXPERIENCE. Med J Islam Repub Iran 1997; 11 (2) :81-86
URL: http://mjiri.iums.ac.ir/article-1-1108-en.html
From the Department of Pedialric Surgery. Greal Ormond Street HospiJaJ for Sick Children. London. England.
Abstract:   (4776 Views)
Eventration of the diaphragm is a condition characterized by an attenuated but otherwise intact diaphragm. Twenty patients (age range: 2 days to 11 years) were treated for eventration of the diaphragm during a ten year period (19 85-1995). There were 11 girls and 9 boys with a mean gestational age of 37 weeks. 14 patients were born with cephalic presentation, 3 patients with breech delivery and 3 patients by caesarean section. In 5 cases with difficult delivery, forceps were used. Mean birth weight of patients was 2510 gm (range 900 to 3500 g). The most common clinical manifestations of these patients were respiratory distress (16 cases) and failure to thrive (14 cases below 3rd percentile). 50% of patients (10 cases) had from 1 to 5 associated anomalies. Cardiac anomalies were the most common (n= 5), followed by respiratory system anomalies (n= 4), malrotation (n= 3), and hiatal hernia (n= 2). All patients had an elevated diaphragm in the chest radiograph (n= 20), but only some had paradoxical movement in fluoroscopic studies (n= 5). In 8 patients GI contrast studies were performed and three patients were found to have malrotation. 15 patients had right, 3 patients left, and two patients bilateral diaphragmatic eventration. 18 patients underwent operation (plication), while two patients with small and asymptomatic eventration were not operated. Operative repair was performed with no mortality. Hospital stay was 14.5 days. 12/20 patients had come for follow-up and they were evaluated from 5 months to 10 years. All showed good results from diaphragmatic plication without respiratory distress or infection and gained weight from below the 3rd percentile to above the 10th percentile. Surgical correction is strongly recommended in patients with eventration of the diaphragm and failure to thrive or other clinical manifestations.
Full-Text [PDF 618 kb]   (3493 Downloads)    
Type of Study: Original Research | Subject: Pediatric

Add your comments about this article : Your username or Email:
CAPTCHA

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.