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Intractable Hiccups Caused by Diaphragmatic Eventration.

Michelle K Hong1, Albert Y Han1, Jennifer L Long2,1

  • 1Head and Neck Surgery, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.

Cureus
|May 31, 2022
PubMed
Summary

This case report details intractable hiccups caused by right hemidiaphragm eventration. It highlights this rare association and the need for an interdisciplinary approach to managing this debilitating condition.

Keywords:
diaphragmatic eventrationeventrationhiccupsintractable hiccupsvoice therapy

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Area of Science:

  • Neurology
  • Thoracic Surgery
  • Gastroenterology

Background:

  • Intractable hiccups are rare but debilitating, often signaling serious underlying pathologies like neoplasms or structural abnormalities.
  • A broad differential diagnosis is crucial for managing persistent hiccups.

Observation:

  • A 64-year-old male presented with seven months of intractable hiccups.
  • The hiccups were ultimately attributed to eventration of the right hemidiaphragm.

Findings:

  • This is the first reported case linking diaphragmatic eventration to intractable hiccups.
  • Pharmacological treatment with baclofen and voice therapy for rescue breathing were initiated.

Implications:

  • Diaphragmatic eventration should be considered in the differential diagnosis of intractable hiccups.
  • An interdisciplinary approach involving neurology, thoracic surgery, and other specialists is vital for comprehensive workup and treatment.
  • Further evaluation by thoracic surgery was recommended for potential intervention if the condition worsens or causes hypoxemia.