INTRODUCTION Diaphragmatic injuries include wounds and diaphragm ruptures, due to a thoracoabdominal blunt or penetrating traumas. Their incidence ranges between 0.8 and 15 %. The diagnosis is often delayed, despite several medical imaging techniques. The surgical management remains controversal, particularly for the choice of the surgical approach and technique. The mortality is mainly related...

we present a female patient with atypical chest pain who was referred to our department for ischemia evaluation. 99mtc-mibi myocardial perfusion scan with dipyridamole stress was performed. sub-diaphragmatic activity in the hepatic tissue and then in the bowel loops caused severe overlap on the inferior wall even on consecutive delayed images. dipyridamole stress was repeated for the patient wi...

Diaphragmatic rupture due to trauma is both well recognised and uncommon. The difficulties in diagnosing traumatic diaphragmatic rupture at the first admission are the most common causes of latent morbidity and mortality. Herniation of the abdominal viscera is the most common sequel with strangulation and perforation the most serious complication. This case outlines the delayed presentation of ...

Introduction: we propose the objective revision of a critical clinical case which presented so important lifethreatening complications. Presentation of Case: we present a case of patient underwent cardiovascular surgery, developing diaphragmatic paralysis and dependence on mechanical ventilation. Discussion: The patient was weaned from mechanical ventilation after diaphragmatic plication, in sp...

Although diaphragmatic injuries caused by blunt or penetrating trauma are rare entities, they are the most commonly misdiagnosed injuries in trauma patients and occur in approximately 3-7% of all abdominal or thoracic traumas. Acute pancreatitis secondary to late presenting diaphragmatic hernia is very rare. Here we present two separate cases: one with acute bowel obstruction and the other with...

The ciliated cysts are a rare congenital lesion developed from the primitive anterior intestine. essentially supra-diaphragmatic and located in bronchial tree, esophagus, mediastinum sublingual. When cyst is infra diaphragmatic, it’s usually liver especially medial segments (IV, V, VIII). It can be pancreas as well. It’s location gall bladder exceptional. Many times incidental finding. Cystic g...

LES pressure increase following diaphragmatic contraction as a pinch-cock action acts as one of the barrier mechanism for gastroesophageal reflux. In achalasia patients, incomplete LES relaxation following wet swallow is one of the characteristic manometric findings, along with loss of peristalsis. On the other hand, it has been reported that swallowing effort or esophageal distention have no e...

One of the limiting factors for high resolution magnetic resonance coronary angiography (MRCA) is the motion of the heart during breathing. Current approaches use mainly motion correction in one dimension. We aimed to determine the relation between diaphragmatic motion and cardiac motion as well as the potential influence from external restraints reducing thoracical anterior posterior (AP) moti...

Vassilakopoulos T, Hussain SN. Ventilatory muscle activation and inflammation: cytokines, reactive oxygen species, and nitric oxide. J Appl Physiol 102: 1687–1695, 2007. First published December 21, 2006; doi:10.1152/japplphysiol.01273.2006.— Strenuous diaphragmatic contractions that are induced by inspiratory resistive breathing initiate an inflammatory response that involves the elevation of ...

Dyspnea and reduced exercise capacity, caused, in part, by respiratory muscle dysfunction, are common symptoms in patients with heart failure (HF). However, the etiology of diaphragmatic dysfunction has not been identified. To investigate the effects of HF on diaphragmatic function, models of HF were surgically induced in CD-1 mice by transverse aortic constriction (TAC) and acute myocardial in...