Document Detail

Adult presentation of agenesis of the hemidiaphragm.
MedLine Citation:
PMID:  10713025     Owner:  NLM     Status:  MEDLINE    
A 66-year-old woman presented with a 3-day history of classical features of large bowel obstruction. At emergency laparotomy, the transverse colon and splenic flexure were located in the left hemithorax. The entire left hemidiaphragm was absent, and there were no diaphragmatic remnants visible. This is the oldest reported case of an absent hemidiaphragm. Previous cases of "agenesis" of the hemidiaphragm in adults either reported diaphragmatic remnants intraoperatively or failed to rule them out radiologically when managed conservatively. We would suggest that this is the first reported case of an adult presenting with true agenesis of the hemidiaphragm.
J J Sheehan; S R Kearns; D A McNamara; R P Brennan; J M Deasy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Chest     Volume:  117     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-04-04     Completed Date:  2000-04-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  901-2     Citation Subset:  AIM; IM    
Department of Surgery, Beaumont Hospital, Dublin, Ireland.
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MeSH Terms
Colonic Diseases / radiography
Diagnosis, Differential
Diaphragm / abnormalities*,  radiography
Hernia, Diaphragmatic / congenital*,  radiography
Intestinal Obstruction / radiography

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