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...

CE Send comments/questions via email [email protected], fax 800-556-3288, or web CompendiumVet.com In companion animals, acquired diaphragmatic herniation is most frequently the result of motor vehicle accidents involving compressive trauma. Published reports indicate that patients with traumatic diaphragmatic herniation have a guarded prognosis. Respiratory compromise, concurrent injury...

Each year, a total of 11,200 persons receive spinal cord injuries. Approximately 4,200 of those injured die before they can reach a hospital, and another 1,150 die during hospitalization.,' 8 Respiratory disturbance during the acute phase of upper thoracic or cervical spinal injury accounts for the high morbidity and mortality rate.2 The diaphragm is innervated by the phrenic nerve, which exits...

Phrenic nerve trauma in the absence of direct injury is unusual and may present diagnostic difficulty. Diaphragmatic paralysis resulting from phrenic nerve injury may closely mimic diaphragmatic rupture. This case highlights the value of magnetic resonance imaging in establishing diaphragmatic integrity and of ultrasonographic assessment during respiratory excursion in confirming diaphragmatic ...

Right diaphragmatic hernia is an uncommon injury following abdominal trauma. A case of delayed right post-traumatic diaphragmatic hernia is presented. The patient referred us with wheezing and cough since 1 month. A chest-abdominal computed tomography scan demonstrated a large diaphragmatic defect with liver and intestinal dislocation. The patient underwent surgical intervention with diaphragma...

BACKGROUND Diaphragmatic paralysis in newborns is related to brachial plexus palsy. It can cause respiratory failure necessitating prolonged mechanical ventilation and subsequent extubation failure. CASE PRESENTATION We present a two-hour-old male newborn with a birth weight of 4500 grams who had a right-sided brachial plexus palsy and right diaphragmatic paralysis due to shoulder dystocia. H...

Congenital diaphragmatic hernia (CDH) is a rare condition. The reported incidence of intrathoracic renal ectopia due to CDH is also rare. A right-sided thoracic kidney is much less common due to the location of the liver. Isolated intrathoracic kidney is usually asymptomatic and diagnosed incidentally on chest imaging. The authors report on a 21days old female infant with late-presenting right ...

The occurrence of congenital diaphragmatic hernia in a pregnant adult is rare. In contrast to neonatal diaphragmatic hernias, most of the adult patients present with vague gastrointestinal symptoms mimicking other diseases hence the importance of high index of suspicion. We report a case of a young pregnant lady with congenital diaphragmatic hernia presenting with symptoms and clinical signs su...

The most common cause of traumatic diaphragmatic rupture is blunt or penetrating thoraco-abdominal trauma. The proper diagnosis can be difficult to make due to the non-specific clinical picture. The surgical approach in managing diaphragmatic rupture includes laparotomy, thoracotomy, or both. This article presents a case of a 60year-old woman with post-traumatic peritoneopericardial diaphragmat...

Diaphragmatic hernia, secondary to transhiatal esophagectomy, appears to be a relatively infrequent diagnosis. Patients may be asymptomatic or present with various symptoms. Diagnosis of this condition requires a high index of suspicion. The most common cause of diaphragmatic hernia is widened esophageal hiatus during surgery; therefore, narrowing the hiatus can prevent conduit herniation. Here...