Ayaz Ahmed Abbassi, Ishtiaq Ahmed Chaudhary, Ashraf Ali Mallhi.
Eventration of Diaphragm: An incidental finding.
Rawal Med J Jan ;29(1):40-1.

A 47 years old man presented in Accident and Emergency with severe pain in the lower left side of the chest and difficulty in breathing after he had a fall from height following an epileptic fit. He was a known case of epilepsy for the last twenty-five years but presently he was not taking any medicines. On examination he was a middle-aged man of average built. His pulse rate was 84/min, Blood Pressure 130/90 mm of Hg and temperature was normal. His trachea was deviated to right side and bowel sounds were audible in left lower chest extending up to left nipple. A chest x-ray was taken which showed elevated left dome of diaphragm and bowel in the left side of chest. A naso-gastric tube was passed and gastrograffin studies were performed which showed abdominal contents in left pleural cavity. Keeping in view the stable general condition of the patient, CT scan with contrast was done to rule out traumatic rupture of diaphragm. The scan was consistent with the findings of other investigations that this was a case of eventration of diaphragm. Patient remained stable throughout this period and his all other investigations such as ECG, Arterial blood gases analysis and ultrasound of abdomen were normal. Patient was discharged from the hospital after one week of stay. He was advised to follow up in surgical our door on regular basis.

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