Compression of the right atrium due to coexistence of diaphragmatic eventration and Chilaiditi's syndrome.
We report on a 70-year-old male who was admitted to hospital due to progressive onset of dyspnea and fever. Diagnostic work-up revealed a high diaphragmatic position, compression of the right heart and supraventricular tachycardia. A simultaneous incidental finding was hepatodiaphragmatic colonic interposition (Chilaiditi's syndrome). Diaphragmatic plication through a right thoracotomy with bowel reduction was effective to treat the patient.This is the second reported case in the literature of a simultaneous occurrence of diaphragmatic eventration and Chilaiditi's syndrome.
Hountis
P
P
Athens Naval Hospital, Athens, Greece.
Ikonomidis
P
P
Stamatelopoulos
A
A
Douzinas
M
M
D000015:Abnormalities, Multiple / Q000473:pathology / Q000601:surgery; D000368:Aged; D003106:Colon / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D003965:Diaphragmatic Eventration / Q000150:complications* / Q000473:pathology / Q000601:surgery; D004452:Echocardiography; D006325:Heart Atria / Q000473:pathology; D006801:Humans; D008099:Liver / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D008297:Male; D013577:Syndrome; D013617:Tachycardia, Supraventricular / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome