Compression of the Right Atrium Due to Coexistence of Diaphragmatic Eventration and Chilaiditi's Syndrome

Introduction

Chilaiditi's syndrome (CS) is a hepatodiaphragmatic interposition of the colon and, rarely, of the small intestine, with an incidence of 1/2500 [1]. Eventration, meaning out of (‘e’) the abdomen (‘venter’), is a condition in which all or a portion of one hemidiaphragm is permanently elevated yet retains its continuity and normal attachments to the costal margins. It remains a rare condition and surgery is seldom indicated. It can be a congenital disorder of the infantile or adult type or a sequela of acquired disorders with intact or abnormal phrenic nerve conduction velocity. The latter is usually the result of posttraumatic or postoperative conditions, neuromuscular or infectious disorders, malignancies of the lung or mediastinum and is rarely idiopathic [2]. We are of the opinion that our case is probably idiopathic.

References

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