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Lung India Official publication of Indian Chest Society  
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CASE REPORT
Year : 2012  |  Volume : 29  |  Issue : 1  |  Page : 53-55

Congenital right hemidiaphragmatic agenesis


Department of Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan

Correspondence Address:
Bilal Mirza
Department of Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Lahore
Pakistan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.92364

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Congenital diaphragmatic hernia is a congenital defect of the diaphragm through which intestine and other viscera herniate into the chest. In extreme form of diaphragmatic maldevelopment, there might be a complete agenesis of diaphragm. A 45-day old male infant was presented with fever, cough and respiratory distress for a week. Chest radiograph showed right-sided congenital diaphragmatic hernia. The patient underwent surgical exploration and found to have an unusual and large defect of right hemidiaphragm. The diaphragm was absent on anterior and lateral aspects of the chest wall and only a small rim of diaphragm was present on posterior aspect. The defect was identified as agenesis of right hemidiaphragm and successfully managed by suturing the posterior rim of diaphragm to the intercostal muscles and ribs. This report describes successful management of hemidiaphragmatic agenesis without incorporating a prosthetic material.


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