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An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report

Diaphragmatic eventration is a rare condition, and its association with dextrocardia is even a rarer clinical entity. Patients are usually asymptomatic, but the typical features include rapid breathing and recurrent respiratory infections. Here we present a rare case of a seven months old infant, wh...

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Autores principales: Rajkarnikar, Ramana, Thami, Rabin, Dahal, Priyanka, Lacaul, Robal, Shrestha, Rashmi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of the Nepal Medical Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226742/
https://www.ncbi.nlm.nih.gov/pubmed/35633268
http://dx.doi.org/10.31729/jnma.7029
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author Rajkarnikar, Ramana
Thami, Rabin
Dahal, Priyanka
Lacaul, Robal
Shrestha, Rashmi
author_facet Rajkarnikar, Ramana
Thami, Rabin
Dahal, Priyanka
Lacaul, Robal
Shrestha, Rashmi
author_sort Rajkarnikar, Ramana
collection PubMed
description Diaphragmatic eventration is a rare condition, and its association with dextrocardia is even a rarer clinical entity. Patients are usually asymptomatic, but the typical features include rapid breathing and recurrent respiratory infections. Here we present a rare case of a seven months old infant, who presented with cough, noisy breathing and chest retraction. The patient was diagnosed to have dextrocardia with diaphragmatic eventration with pneumonia by chest imaging and was treated in coordination with the medical team for underlying pneumonia. Afterwards, plication of the diaphragm was done through the trans-abdominal approach and the symptoms gradually improved postoperatively. For dextrocardia, since there were no structural abnormalities, the patient was kept in regular follow-up in the pediatric cardiology unit. Though most patients are asymptomatic, diaphragmatic eventration increases the risk of recurrent chest infection and hampers the quality of life of the patient, so timely diagnosis and intervention will greatly improve their quality of life.
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spelling pubmed-92267422022-06-24 An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report Rajkarnikar, Ramana Thami, Rabin Dahal, Priyanka Lacaul, Robal Shrestha, Rashmi JNMA J Nepal Med Assoc Case Report Diaphragmatic eventration is a rare condition, and its association with dextrocardia is even a rarer clinical entity. Patients are usually asymptomatic, but the typical features include rapid breathing and recurrent respiratory infections. Here we present a rare case of a seven months old infant, who presented with cough, noisy breathing and chest retraction. The patient was diagnosed to have dextrocardia with diaphragmatic eventration with pneumonia by chest imaging and was treated in coordination with the medical team for underlying pneumonia. Afterwards, plication of the diaphragm was done through the trans-abdominal approach and the symptoms gradually improved postoperatively. For dextrocardia, since there were no structural abnormalities, the patient was kept in regular follow-up in the pediatric cardiology unit. Though most patients are asymptomatic, diaphragmatic eventration increases the risk of recurrent chest infection and hampers the quality of life of the patient, so timely diagnosis and intervention will greatly improve their quality of life. Journal of the Nepal Medical Association 2022-03 2022-03-31 /pmc/articles/PMC9226742/ /pubmed/35633268 http://dx.doi.org/10.31729/jnma.7029 Text en © The Author(s) 2018. https://creativecommons.org/licenses/by/4.0/This is an Open-Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rajkarnikar, Ramana
Thami, Rabin
Dahal, Priyanka
Lacaul, Robal
Shrestha, Rashmi
An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title_full An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title_fullStr An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title_full_unstemmed An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title_short An Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report
title_sort infant with congenital diaphragmatic eventration with dextrocardia: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9226742/
https://www.ncbi.nlm.nih.gov/pubmed/35633268
http://dx.doi.org/10.31729/jnma.7029
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