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Diaphragmatic plication for diaphragmatic eventration caused by chronic constipation: a case report
Daigo Yoshimori1, Takeshi Matsutani2,3, Nobutoshi Hagiwara1
1Department of Gastrointestinal Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
Clinical Journal of Gastroenterology
|January 17, 2021
Summary
Diaphragmatic eventration, a rare adult condition, was successfully treated in an elderly patient. Chronic constipation led to hemidiaphragm dysfunction, which was resolved through surgical repair.
Area of Science:
- Medical Case Study
- Surgical Repair
- Diaphragmatic Dysfunction
Background:
- Diaphragmatic eventration is uncommon in adults.
- Chronic constipation can lead to complications like hemidiaphragm dysfunction.
- Previous colectomy for colon cancer complicated by chronic constipation.
Observation:
- An elderly woman presented with progressive shortness of breath and dyspnea.
- Physical exam revealed abdominal distension and incisional hernia.
- Imaging showed left diaphragmatic displacement, megacolon, and incisional hernia.
Findings:
- Surgical repair included abdominal incisional hernia mesh repair and diaphragmatic plication.
- Postoperative imaging confirmed improved left lung space.
- The patient experienced clinical resolution of respiratory symptoms.
Implications:
- This case highlights a rare cause of diaphragmatic eventration.
- Surgical intervention can effectively treat constipation-induced diaphragmatic dysfunction.
- Successful management of diaphragmatic eventration improves respiratory function.
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