Eventration of Diaphragm or Pseudo Pleural Effusion?
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 2 No. 3(Summer) (2012),
12 January 2013
,
Page 113-115
https://doi.org/10.22037/ijmtfm.v2i3(Summer).3953
Abstract
Background: Physicians frequently encounter chest-x ray reports of pleural effusion in patients. Thoracocentesis is the second step to diagnosis, but if there isn’t any effusion actually, thoracocentesis may lead to complication.
Case Report: A 47-year-old man with a history of dyspnea and dry cough and posteroanterior (PA) chest x-ray (and right lateral decubitus) report of pleural effusion referred for thoracocentesis, but vesicular sounds at over the lungs were normal. Spiral lung CT scan revealed localized eventration of diaphragm.
Conclusion: Localized eventration of right diaphragm may cause the appearance of pleural effusion in PA and also right lateral decubitus chest x-ray.
- Pleural Effusion
- Thoracocentesis
- Diaphragm
How to Cite
References
Ahmad Z, Krishnadas R, Froeschle P.Pleural effusion: diagnosis and management. Perioper Pract J. 2009;19(8):242-7.
Diaz-Guzman E, Dweik RA. Diagnosis and management of pleural effusions: a practical approach. Compr Ther. 2007;33(4):237-46.
Harrison's Online. Chapter 253. Diagnostic Procedures in Respiratory Disease. Diagnostic Procedures in Respiratory Disease: Introduction
Algın O, Gökalp G, Topal U. Signs in chest imaging. Diagn Interv Radiol. 2011;17(1):18-29.
Kulkarni ML, Sneharoopa B, Vani HN, Nawaz S, Kannan B, Kulkarni PM. Eventration of the Diaphragm and Associations. Indian J Pediatr. 2007;74:110–3.
Tiryaki T, Livanelioglu Z, Atayurt H. Eventration of the diaphragm. Asian J Surg. 2006;29:8–10.
Chadha R, Singh D, Kathuria P, Sharma S, Choudhury SR, Jain M. Congenital cystic adenomatoid malformation with ipsilateral eventration of the diaphragm. Indian J Pediatr. 2006;73:832–4.
Faheem M, Fayad A. Diaphragmatic rupture after epidural anaesthesia in a patient with diaphragmatic eventration. Eur J Anaesthesiol. 1999;16:574–6.
Fraser. Diagnosis of Diseases of the chest,, chapter (1).1988;3:268.
- Abstract Viewed: 389 times
- PDF Downloaded: 504 times