Ultrasound-guided perioperative management of 28-month-old patient with congenital diaphragmatic eventration

Right-side diaphragmatic eventration with atrial septa defect and cleft palate in an infant: a case report

BACKGROUND

Congenital right-side diaphragmatic eventration with atrial septal defect and cleft palate is a rare congenital anomaly.

CASE PRESENTATION

We present a rare case of congenital right-sided diaphragmatic eventration along with atrial septal defect, cleft palate, pneumonia, and undernutrition in a 3-month-old Asian and Afghan girl. The clinical features were observed in the third month of life, and the diagnosis of these anomalies was established by the patient's history, physical examination, chest X-ray, thoracic computed tomography, and echocardiography. Her condition was good after supportive treatment. Since the index case of diaphragmatic eventration was associated with congenital heart disease, cleft palate, and parental consanguinity, a genetic basis may have played an important role in the pathogenesis of this anomaly.

CONCLUSION

Eventration of the diaphragm may be diagnosed in early infancy, and genetic factors may contribute to its pathogenesis.

Heart on the left, diaphragm on the right: A case of congenital diaphragmatic eventration

Congenital Diaphragmatic Eventration (DE) requires a prompt diagnosis to avert the potentially life-threatening complications. Herein, a 5-month-old male presented with recurrent respiratory infections due to a right-sided diaphragmatic eventration. Misdiagnosed from previous medical visits, timely surgical intervention by thoracoscopic plication of the diaphragm was crucial for our patient's survival.