Diaphragmatic Hernia/Eventration

What are diaphragmatic hernia/eventration?

Diaphragmatic Hernia: This condition occurs when there is a hole or weakness in the diaphragm, allowing organs from the abdomen to move into the chest cavity. This displacement can lead to compression of the lungs and other organs.

Diaphragmatic Eventration: In contrast, eventration of the diaphragm refers to a congenital or acquired condition where a portion of the diaphragm is abnormally thin and weak, leading to abnormal elevation of the affected part of the diaphragm.

What causes diaphragmatic hernia/eventration?

Diaphragmatic Hernia: The causes can be congenital (present at birth) or acquired later in life due to trauma or surgery. Congenital diaphragmatic hernias often result from incomplete development of the diaphragm during fetal development.

Diaphragmatic Eventration: This condition may be congenital or acquired. Congenital eventration is often idiopathic (without a known cause), while acquired eventration can result from conditions such as neuromuscular disorders or trauma.

What are the symptoms of diaphragmatic hernia/eventration?

Diaphragmatic Hernia: Symptoms can vary depending on the size and location of the hernia but may include difficulty breathing, rapid breathing, cyanosis (bluish discoloration of the skin), gastrointestinal symptoms, and in severe cases, respiratory distress.

Diaphragmatic Eventration: Symptoms may include shortness of breath, respiratory infections, fatigue, and in severe cases, respiratory distress.

How to treat diaphragmatic hernia/eventration?

Diaphragmatic Hernia: Treatment often involves surgical repair to close the hole in the diaphragm and return displaced organs to their proper position. In severe cases, this may require immediate intervention to stabilize the patient's condition before surgery.

Diaphragmatic Eventration: Treatment options depend on the severity of symptoms. In some cases, observation and conservative management may be sufficient. However, surgical intervention may be necessary to reinforce or reconstruct the weakened portion of the diaphragm.

As these conditions can be complex and require individualised management, it's important to consult with a healthcare professional for proper diagnosis and treatment planning.