International journal of surgery (London, England) · 2025
Diaphragmatic eventration associated with megacolon: a narrative review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Tcheutchoua Soh Guillaume, Ndong Abdourahmane, Tendeng Jacques Noel, Faye Papa Mamadou, Thiam Ousmane, Tchoffo Josiane Ngouanfo, Nyemb Philippe Manyacka Ma, Konate Ibrahima, Cisse Mamadou
Аннотация
BACKGROUND: Diaphragmatic eventration is a rare condition classified as acquired or congenital. Diaphragmatic eventration associated with megacolon is a clinical finding that does not fit the existing principles of treatment. This study aimed to review this association in order to update the knowledge available on diaphragmatic eventration.
METHOD: We included articles about diaphragmatic eventration associated with megacolon. The search databases included PubMed, Google Scholar, and African Journal Online, which were added to other articles obtained by manual search.
RESULTS: We included 21 case reports in the study. From these, we identified four common points: the left side was involved in 95.2% (except one case where the liver was displaced), all patients were adults, the clinical presentations were respiratory symptoms in (90.4%, n = 19), and abdominal emergency syndrome in (38%, n = 8). The condition is easily detected on standard X-rays, and no cause has been identified for the acquired eventration. The surgical approaches were laparotomy (61.9%), thoracotomy (19%), and laparotomy and thoracotomy (4.8%). This treatment consists of management of eventration and megacolon. Treatment was surgical in 86.7% ( n = 18) of patients. It consisted of diaphragm plication in 23.8% ( n = 5), colonic resection in 19% ( n = 4), diaphragmatic plication, and colonic resection in 42.9% ( n = 9).
CONCLUSION: Megacolon can reveal diaphragmatic eventration in adults, especially on the left side. The diagnosis is easily detected on radiography. This can present as a major surgical abdominal emergency and therefore must be managed using an open abdominal approach. Other cases can be managed through the abdominal or thoracic route; however, treatment of colonic distension must be considered.
METHOD: We included articles about diaphragmatic eventration associated with megacolon. The search databases included PubMed, Google Scholar, and African Journal Online, which were added to other articles obtained by manual search.
RESULTS: We included 21 case reports in the study. From these, we identified four common points: the left side was involved in 95.2% (except one case where the liver was displaced), all patients were adults, the clinical presentations were respiratory symptoms in (90.4%, n = 19), and abdominal emergency syndrome in (38%, n = 8). The condition is easily detected on standard X-rays, and no cause has been identified for the acquired eventration. The surgical approaches were laparotomy (61.9%), thoracotomy (19%), and laparotomy and thoracotomy (4.8%). This treatment consists of management of eventration and megacolon. Treatment was surgical in 86.7% ( n = 18) of patients. It consisted of diaphragm plication in 23.8% ( n = 5), colonic resection in 19% ( n = 4), diaphragmatic plication, and colonic resection in 42.9% ( n = 9).
CONCLUSION: Megacolon can reveal diaphragmatic eventration in adults, especially on the left side. The diagnosis is easily detected on radiography. This can present as a major surgical abdominal emergency and therefore must be managed using an open abdominal approach. Other cases can be managed through the abdominal or thoracic route; however, treatment of colonic distension must be considered.