A RARE CASE OF SPONTANEOUS RUPTURE OF A CONGENITAL DIAPHRAGMATIC EVENTRATION

Abstract

A 29Yr old male patient came to our casualty ward with the complaints of vomiting and sudden onset of breathing                difficulty for past two days. There was an associated left sided upper abdominal pain. There was no history of trauma,          abdominal distension or lifting heavy weights. On examination there was an absence of breath sounds in left hemithorax but bowel sounds were heard. Chest x-ray reported as massive left hydropneumothorax and CT-Thorax reported as             intra-thoracic herniation of stomach through diaphragmatic defect. He underwent left thoracotomy with reduction of the herniated contents, repair of the diaphragmatic rupture           plication of the diaphragm. He made an uneventful recovery and remains asymptomatic. In summary we report a rare case of spontaneous rupture of a congenital diaphragmatic                 eventration.