Ruptured Diaphragmatic Eventration: Lessons Learned

Diaphragmatic eventration (DE) is characterized by abnormal diaphragm elevation resulting from muscle weakness or thinning. It may be congenital or acquired, affecting both pediatric and adult populations, and is associated with symptoms such as dyspnea and chest pain. Although DE is infrequent, with a higher incidence on the left side, it has traditionally been managed through invasive surgical techniques. Advances in endoscopic methods, including thoracoscopic and laparoscopic plication, have revolutionized treatment by offering reduced postoperative pain, faster recovery, and improved precision. Despite these benefits, potential complications such as pneumothorax and diaphragm rupture remain concerns. We report two cases of ruptured DE and their management. Effective management requires meticulous surgical technique and consideration of individual patient factors to optimize outcomes and minimize complications.