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BMJ Case Rep. 2019 Jun 22;12(6). pii: e229475. doi: 10.1136/bcr-2019-229475.

Diaphragmatic eventration unusual presentation: a novel thoracoabdominal compartment syndrome case.

Author information

1
Department of General Surgery, Armed Forces Hospitals Southern Region, Riyadh, Saudi Arabia.
2
Trauma and Acute Care Surgery, King Saud University Medical City, Riyadh, Saudi Arabia.
3
Department of General Surgery, King Faisal Medical City, Abha, Saudi Arabia.
4
Department of Intensive Care, Aseer Central Hospital, Abha, Saudi Arabia.
5
Department of General Surgery, Aseer Central Hospital, Abha, Saudi Arabia.

Abstract

Diaphragmatic eventration is a rare entity in the adult population, and usually asymptomatic 1 ; our case is a young man with severe right-sided diaphragmatic eventration with huge dilated colon that has compromised the right hemithorax and caused complete lung collapse and mediastinal shift similar to tension pneumothorax picture with haemodynamic alteration. A single similar case report had been published but did not shed the light on the accurate description of the pathophysiological mechanism of the disease. We believe that such a high abdominal pressure that has transmitted to the thoracic cavity due to the pliable diaphragm causing such a derangment in both the anatomy and the physiology deserves reporting and we think that the term 'thoracoabdominal compartment syndrome' describes it accurately, so we discuss some learning points from our case and things that could have been done better.

KEYWORDS:

pneumothorax; radiology; resuscitation

PMID:
31229982
DOI:
10.1136/bcr-2019-229475
[Indexed for MEDLINE]

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