Idiopathic Unilateral Diaphragmatic Eventration in an Adult: A Rare Case Presentation

Dr. Shailja Kumari | Dr. Sushant Sangam | Dr. Binod Kumar ^[3]

Abstract: Introduction: Eventration of diaphragm is an abnormal elevation of diaphragmatic musculature while retaining normal attachments to the sternum, ribs and dorsolumbar spine. It can be congenital or acquired. Congenital eventration of diaphragm mostly presents during infancy and only rarely becomes symptomatic during adulthood. Eventration of diaphragm in adults are mostly acquired and due to damage to phrenic nerve by trauma, infections, multiple sclerosis, Guillain - Barre syndrome, nerve compression, radiation therapy, and connective tissue diseases. Case Report: We are reporting a rare case of a 44 - year - old male having left sided total diaphragmatic eventration. The patient presented with progressive dyspnea, chest pain and cough. Clinical examination and imaging with chest x - ray, ultrasound chest and CECT thorax suggested eventration of left hemidiaphragm for which plication of left hemidiaphragm was performed through an abdominal approach. There were no postoperative complications and he was discharged on the tenth postoperative day. Conclusion: Diaphragmatic eventration in adult with no history of trauma is a rare case to be reported in India. The aim of treatment is expansion of intra - thoracic space which is done by plication of the diaphragm.

Keywords: Eventration of diaphragm, Diaphragmatic plication, Adult diaphragmatic hernia

Edition: Volume 13 Issue 3, March 2024,

Pages: 1813 - 1816