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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 2  |  Page : 109-112

Diaphragmatic eventration with gastric volvulus: A surgical emergency


Department of General Surgery, Kamineni Academy of Medical Sciences and Research Center, Hyderabad, Andhra Pradesh, India

Correspondence Address:
Dr. S Yerrapragada
Department of General Surgery, Kamineni Academy of Medical Sciences and Research Center, LB Nagar, Hyderabad - 500 068, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.158826

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Diaphragmatic eventration is an abnormally elevated hemidiaphragm in the chest cavity with poorly developed muscle fibers. This condition can lead to abnormal displacement of intra-abdominal organs. It is a developmental anomaly and usually remains asymptomatic in early life. It presents later with respiratory and occasionally gastrointestinal complications. A clinical scenario of eventration of diaphragm, displacement of the stomach, the splenic flexure of colon, and the spleen with gastric volvulus is uncommon. Early diagnosis and prompt intervention prevents development of necrosis and perforation of stomach. We report a case of a 68-year-old male having left sided diaphragmatic eventration associated with acute on chronic intermittent organoaxial gastric volvulus and displaced intra-abdominal organs. He underwent surgical repair with a successful outcome.


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