Diaphragmatic Rupture with Background Diaphragmatic Eventration in Pregnancy

• Author(s): O. A Ajagbe ; O. Adeyemi ; U. R Ikeme ; Olatunde F. A ; D. O Irabor; O. O Ayandipo
• Paper ID: 1711124
• Page: 361-365
• Published Date: 09-10-2025
• Published In: Iconic Research And Engineering Journals
• Publisher: IRE Journals
• e-ISSN: 2456-8880
• Volume/Issue: Volume 9 Issue 4 October-2025

Abstract

Introduction-Diaphragmatic rupture can result from trauma or, in rare cases, occur spontaneously. Diaphragmatic eventration is an uncommon condition characterized by partial or complete thinning of the diaphragm's musculature. This can arise from a congenital defect in the diaphragm or as a secondary consequence of phrenic nerve injury. Often asymptomatic, it is frequently underdiagnosed. A spontaneous rupture associated with congenital eventration is extremely rare. Diagnosis primarily relies on chest radiography or computed tomography scans of the chest. Case presentation -A 32-year-old G3P1 woman at 8 weeks of gestation presented at the Emergency Department with abdominal pain, vomiting, and difficulty in breathing. Plain chest x-ray showed strong evidence of diaphragmatic eventration with abdominal contents in the left hemithorax. She subsequently had repair of diaphragmatic rupture with good outcome. Discussion-Diaphragmatic eventration is a rare but significant condition in which abdominal organs shift into the chest cavity due to dysfunction or weakness of the diaphragm. This condition can rupture either spontaneously or following a traumatic injury. Prompt recognition is critical, especially when there is a risk of ischaemic or necrotic tissue, which can lead to serious complications. Swift diagnosis and effective treatment are vital to achieving the best patient outcomes, underscoring healthcare professionals' need to remain vigilant and informed about this serious condition. Conclusion -A prompt response to this clinical scenario is essential for achieving optimal outcomes. This case clearly demonstrates the necessity of immediate recognition, intervention and effective management in pregnancy situations.

Keywords

Viscus Herniation, Diaphragmatic Rupture, Diaphragmatic Eventration, Plication

Citations

IRE Journals:
O. A Ajagbe , O. Adeyemi , U. R Ikeme , Olatunde F. A , D. O Irabor; O. O Ayandipo "Diaphragmatic Rupture with Background Diaphragmatic Eventration in Pregnancy" Iconic Research And Engineering Journals Volume 9 Issue 4 2025 Page 361-365

IEEE:
O. A Ajagbe , O. Adeyemi , U. R Ikeme , Olatunde F. A , D. O Irabor; O. O Ayandipo "Diaphragmatic Rupture with Background Diaphragmatic Eventration in Pregnancy" Iconic Research And Engineering Journals, 9(4)