Accessory diaphragm contributing to respiratory insufficiency in a child with progressive thoracolumbar spinal scoliosis.
A patient with an accessory right diaphragm discovered during thoracotomy for correction of severe thoracolumbar scoliosis is presented to illustrate the diagnostic difficulties that may occur in children with accessory diaphragm. The patient had presented at an early age with respiratory symptoms which were assumed to be asthmatic in aetiology and complicated by progressive chest deformity. The respiratory symptoms in accessory diaphragm can be improved by surgery.
Bruce
J
J
Department of General Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
Bratt
H
H
Dickens
D R
DR
Beasley
S W
SW
D002648:Child; D003964:Diaphragm / Q000002:abnormalities*; D006801:Humans; D008297:Male; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology*; D012600:Scoliosis / Q000150:complications*