J Korean Assoc Pediatr Surg.  2000 Jun;6(1):60-63. 10.13029/jkaps.2000.6.1.60.

Spontaneous Rupture of Diaphragm in an 8 Years-old Girl with Nephrotic Syndrome

• Lee SC
• Kim KH

• KMID: 2422242
• DOI: http://doi.org/10.13029/jkaps.2000.6.1.60

Abstract

Spontaneous rupture of the eventrated diaphragm is not common. The authors report a case of spontaneous rupture of the congenital diaphragmatic eventration. An 8 year-old girl with right congenital diaphragmatic eventration and nephrotic syndrome was seen in emergency room because of severe abdominal pain and vomiting. She had intermittent abdominal pain for 1 year. Plain chest X-ray and ultrasonography showed entrapped bowels in the right thoracic area. Exploratory laparotomy revealed a ruptured right eventration. THE displaced abdominal viscera were repositioned into the abdominal cavity and the ruptured diaphragm was trimmed and plicated. The postoperative course was uneventful. Only one case of spontaneous rupture of eventrated diaphragmatic has been reported in the English literature.

Keyword

Diaphragmatic eventration; Spontaneous rupture

MeSH Terms

Abdominal Cavity
Abdominal Pain
Diaphragm*
Diaphragmatic Eventration
Emergency Service, Hospital
Female*
Humans
Laparotomy
Nephrotic Syndrome*
Rupture, Spontaneous*
Thorax
Ultrasonography
Viscera
Vomiting