Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report

Diaphragmatic eventration that leads to large bowel intestinal obstruction is a rare occurrence, often presenting with vague symptoms. Early diagnosis and prompt management are crucial to prevent the resulting significant morbidity and mortality. We report the case of a 51-year-old trader who presen...

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Main Authors: Abdulazeez B. Akanni, Achike S. Ezeanwu, Callise C. Obi, Ifebunachi K. Nweke, Valentine O. Onyebum, Elizabeth C. Umeano, Kene C. Anyeabosi, Samuel A. Chikadibia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:International Journal of Medicine and Health Development
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Online Access:https://doi.org/10.4103/ijmh.ijmh_88_24
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author Abdulazeez B. Akanni
Achike S. Ezeanwu
Callise C. Obi
Ifebunachi K. Nweke
Valentine O. Onyebum
Elizabeth C. Umeano
Kene C. Anyeabosi
Samuel A. Chikadibia
author_facet Abdulazeez B. Akanni
Achike S. Ezeanwu
Callise C. Obi
Ifebunachi K. Nweke
Valentine O. Onyebum
Elizabeth C. Umeano
Kene C. Anyeabosi
Samuel A. Chikadibia
author_sort Abdulazeez B. Akanni
collection DOAJ
description Diaphragmatic eventration that leads to large bowel intestinal obstruction is a rare occurrence, often presenting with vague symptoms. Early diagnosis and prompt management are crucial to prevent the resulting significant morbidity and mortality. We report the case of a 51-year-old trader who presented with a sudden onset of colicky abdominal pain, abdominal distension, and an inability to pass feces or flatus. He had a history of blunt chest trauma owing to an assault by an unknown person a year prior to his presentation. On evaluation, he was observed to be in acute painful distress with generalized tenderness and hyperactive bowel sounds. Breath sounds were reduced over the left lower lung zones. Chest X-ray revealed diaphragmatic eventration with herniated bowel loops. An emergency left posterolateral thoracotomy was performed, which resulted in reduction of the herniated contents and plication of the diaphragm.
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publishDate 2025-07-01
publisher Wolters Kluwer Medknow Publications
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series International Journal of Medicine and Health Development
spelling doaj-art-4ec8c3d3a3384877b9fd7a789ef034df2025-08-20T03:17:09ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952667-28632025-07-0130332432810.4103/ijmh.ijmh_88_24Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case ReportAbdulazeez B. AkanniAchike S. EzeanwuCallise C. ObiIfebunachi K. NwekeValentine O. OnyebumElizabeth C. UmeanoKene C. AnyeabosiSamuel A. ChikadibiaDiaphragmatic eventration that leads to large bowel intestinal obstruction is a rare occurrence, often presenting with vague symptoms. Early diagnosis and prompt management are crucial to prevent the resulting significant morbidity and mortality. We report the case of a 51-year-old trader who presented with a sudden onset of colicky abdominal pain, abdominal distension, and an inability to pass feces or flatus. He had a history of blunt chest trauma owing to an assault by an unknown person a year prior to his presentation. On evaluation, he was observed to be in acute painful distress with generalized tenderness and hyperactive bowel sounds. Breath sounds were reduced over the left lower lung zones. Chest X-ray revealed diaphragmatic eventration with herniated bowel loops. An emergency left posterolateral thoracotomy was performed, which resulted in reduction of the herniated contents and plication of the diaphragm.https://doi.org/10.4103/ijmh.ijmh_88_24diaphragmatic eventrationintestinal obstructionplication
spellingShingle Abdulazeez B. Akanni
Achike S. Ezeanwu
Callise C. Obi
Ifebunachi K. Nweke
Valentine O. Onyebum
Elizabeth C. Umeano
Kene C. Anyeabosi
Samuel A. Chikadibia
Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
International Journal of Medicine and Health Development
diaphragmatic eventration
intestinal obstruction
plication
title Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
title_full Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
title_fullStr Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
title_full_unstemmed Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
title_short Diaphragmatic Eventration Mimicking Large Bowel Intestinal Obstruction – Case Report
title_sort diaphragmatic eventration mimicking large bowel intestinal obstruction case report
topic diaphragmatic eventration
intestinal obstruction
plication
url https://doi.org/10.4103/ijmh.ijmh_88_24
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