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CASE REPORT
Diaphragmatic eventration unusual presentation: a novel thoracoabdominal compartment syndrome case
  1. Abdulaziz Shaher1,2,
  2. Abdulrahman Mohmmed Alqahtani3,
  3. Khalid N Sinnah4 and
  4. Shaher Mousa Al Bakheet5
  1. 1 Department of General Surgery, Armed Forces Hospitals Southern Region, Riyadh, Saudi Arabia
  2. 2 Trauma and Acute Care Surgery, King Saud University Medical City, Riyadh, Saudi Arabia
  3. 3 Department of General Surgery, King Faisal Medical City, Abha, Saudi Arabia
  4. 4 Department of Intensive Care, Aseer Central Hospital, Abha, Saudi Arabia
  5. 5 Department of General Surgery, Aseer Central Hospital, Abha, Saudi Arabia
  1. Correspondence to Dr Abdulaziz Shaher, dr.shaher{at}gmail.com

Abstract

Diaphragmatic eventration is a rare entity in the adult population, and usually asymptomatic1; our case is a young man with severe right-sided diaphragmatic eventration with huge dilated colon that has compromised the right hemithorax and caused complete lung collapse and mediastinal shift similar to tension pneumothorax picture with haemodynamic alteration. A single similar case report had been published but did not shed the light on the accurate description of the pathophysiological mechanism of the disease. We believe that such a high abdominal pressure that has transmitted to the thoracic cavity due to the pliable diaphragm causing such a derangment in both the anatomy and the physiology deserves reporting and we think that the term ‘thoracoabdominal compartment syndrome’ describes it accurately, so we discuss some learning points from our case and things that could have been done better.

  • resuscitation
  • pneumothorax
  • radiology
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Footnotes

  • Contributors AS did most of the writing, literature review and the original concept of the syndrome. AMA main focus was planning the case scenario, the acquisition of data, photography and final manuscript review. KNS main focus was reviewing the file documentation, data collection and the unsuccessful attempt of communication with the family to grant the consent with double checking grammatical errors and second final manuscript check. SMAB was in charge of the technical details of photo editing, text design and data uploading.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Not required.

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