a_clinical_pearl Regarding diagnosis of diaphragmatic eventration

[Admin]

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[iantsai]

Do you have the fluoscopic or sonographic video for the paradoxical movement?
THanks

[Ahmed Nabil]

https://www.dropbox.com/scl/fi/vzq2yl0jwnn9c58wbyeo4/Diaphragm-paralysis-fluoroscopy-480p.mp4?rlkey=j513wk2xcb0sp5ou1ao6dr2m3&dl=0

fluoroscopy of right diaphragmatic paralysis

[Adhamshadad]

💯

[Admin]

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"The diagnosis of eventration is usually made on a chest x-ray. Frontal and lateral chest x-rays will show an elevated diaphragm with a smooth, unbroken outline. Fluoroscopy is a useful investigation for differentiating a complete eventration from a hernia. Paradoxical movement of the diaphragm is seen if complete eventration is present. Ultrasonography is the most useful study in the diagnosis of eventration of the diaphragm and for identification of abdominal organs underneath the eventration. Other investigational modalities include pneumoperitonography, contrast peritonography, radioisotope scanning, and CT scans, but these are rarely required."