Conservative Management of DiaphragmmaticEventrationIn a 2-Days-Old Boy: A Case Report
Dania Meirianitha, PutuSiadiPurniti Department of Child Health,
Medical School Udayana University/Sanglah Hospital Denpasar
ABSTRACT
Eventrationof the diaphragm (ED) refers to an abnormal elevation of intact diaphragm, that arches smoothly from its normal costal attachments, which is immobile as a result of paralysis, or reduced in thickness due to aplasia or atrophy of varying degrees of muscle fibers without enlarged or abnormal orifices. The reported incidence in live births is approximated between 0.001 to 0.003% of live births, although the true incidence is believed to be much higher than it is detected. Eventration of the diaphragm can be of congenital or acquired origin. Congenital eventration of the diaphragm is due to maldevelopment of the muscular portion during the 8th to 10th gestation. The patient in this report is a two-days-old who was present with dyspnea that was aggravated by supine position. The clinical course was progressive, his condition worsening despite oxygen application. Physicalexamination, chest X-rays and CT scan of the diaphragm confirmed the diagnosisdiaphragmatic paralysis.A diaphragmatic plication was not performed on this patient.
