Eventrasi Diafragma Kanan: Strategi Operasi dan Hasil Klinis
DOI:
https://doi.org/10.28932/jmh.v8i1.11115Keywords:
eventrasi diafragma kanan, plikasi diafragma, kegawatan neonatus, kelainan kongenitalAbstract
Eventrasi diafragma kongenital merupakan kelainan bawaan yang jarang terjadi, akibat kegagalan perkembangan otot diafragma, dengan data insidensi dan prevalensi terbatas. Eventrasi diafragma kongenital kanan lebih jarang terjadi, dengan insidensi sekitar 1 dari 10.000 kelahiran hidup, dan dapat menjadi kegawatan pada neonatus karena menimbulkan distres pernapasan berat. Tujuan penulisan ini adalah untuk melaporkan kasus serta menyoroti pentingnya diagnosis serta penatalaksanaan dini pada kasus eventrasi diafragma kongenital kanan. Kami melaporkan kasus bayi perempuan usia tiga hari dengan sesak napas sejak lahir, asimetri gerakan dinding dada, suara napas menurun pada hemitoraks kanan, serta suara usus di rongga toraks. Babygram menunjukkan elevasi hemidiafragma kanan dengan loop usus intratorakal. Pasien menjalani laparotomi eksplorasi emergensi dengan plikasi diafragma, dan pascaoperasi terjadi perbaikan fungsi pernapasan sehingga dapat dipulangkan dalam kondisi baik. Kasus ini menegaskan peran penting deteksi dini dan intervensi pembedahan segera dalam memperbaiki luaran pada neonatus dengan eventrasi diafragma kongenital kanan.Downloads
References
Konstantinidi A, Liakou P, Kopanou Taliaka P, Lampridou M, Kalatzi N, Loukas I, et al. Congenital Diaphragmatic Eventration in the Neonatal Period: Systematic Review of the Literature and Report of a Rare Case Presenting with Gastrointestinal Disorders. Pediatr Rep. 2023;15(3):442–51.
Al-Salem AH. Atlas of Pediatric Surgery: Principles and Treatment. Atlas of Pediatric Surgery: Principles and Treatment. 2020. 355–359 p.
Dahal A, Singh Y, Ansari A, Karmacharya RM, Vaidya S, Bhatt S. Eventration of diaphragm of unknown cause: A case report. Int J Surg Open. 2023;57:100653.
Agarwal AK, Lone NA. Diaphragm Eventration. StatPearls. 2020;3:1–11.
Avadesh Joshi, Manish Kumar AA. Bilateral congenital eventration of diaphragm: keep in mind, the other side. BMJ Case Rep. 2018; doi:10.1136/bcr-2018- 226051
Zouirech Y, Bouljrouf J, Manni A, Ochan M, Kisra M. Congenital Diaphragmatic Eventration in an Infant: Diagnostic Pitfalls and Successful Surgical Management. Cureus. 2025;17 (4): e82017
Aslamzai M, Rahmani FR, Hakimi T, Mukhlis AH, Froogh BA. Right-side diaphragmatic eventration with atrial septa defect and cleft palate in an infant: a case report. J Med Case Rep. 2023;17(1):1–5.
Heiwegen K, van Heijst AF, Daniels-Scharbatke H, van Peperstraten MC, de Blaauw I, Botden SM. Congenital diaphragmatic eventration and hernia sac compared to CDH with true defects: a retrospective cohort study. Eur J Pediatr. 2020;179(6):855–63.
Krushna Makwana MP. Complete eventration of right hemidiaphragm: A rare presentation. J Fam Med Prim Care. 2018;6:870–2.
Tabassum S, Bhargavi G, Arun Babu T. Congenital eventration of diaphragm. BMJ Case Reports . 2025;18(3):1–6.
Bishara J, Burjonrappa S, Pirzada M, Halaby C. Diaphragmatic Eventration Misdiagnosed as Diaphragmatic Hernia in a Preterm Infant. Chest. 2015;148(4):780A. Available from: http://dx.doi.org/10.1378/chest.2243317 12. Radswiki T, Silverstone L, Zoppo C, et al. Diaphragmatic eventration. Radiopaedia. 2024. Available from: https://doi.org/10.53347/rID-13370
Joshi A, Kumar M, Acharya A. Bilateral congenital eventration of diaphragm: Keep in mind, the other side. BMJ Case Rep. 2018;2018:1–3.
Bishara J. Diaphragmatic Eventration Misdiagnosed as Diaphragmatic Hernia in a Preterm Infant with Respiratory Distress: A Case Report and Review of Diagnosis and Management. Open J Pediatr Child Heal. 2015;1:001–4.
Zhao S, Pan Z, Li Y, An Y, Zhao L, Jin X, et al. Surgical treatment of 125 cases of congenital diaphragmatic eventration in a single institution. BMC Surg. 2020;20(1):1–6.
Chiu MZ, Info A. Outcomes after Pediatric Diaphragmatic Plication : Open versus Highlights : 2025;(13):62681.
Gilbert A, Wei B. Diaphragmatic plication: current evidence and techniques in the management of the elevated hemidiaphragm. Ann Jt. 2023;8(4):16.
Alzahrani K, Heng L, Khen-Dunlop N, Panait N, Hervieux E, Grynberg L, et al. Comparative Outcomes of Surgical Techniques for Congenital Diaphragmatic Eventration in Children: A Multicenter Retrospective Cohort Analysis. Eur J Pediatr Surg. 2025;9–10.
Heng L, Alzahrani K, Montalva L, Podevin G, Schmitt F, Khen-Dunlop N, et al. Congenital Diaphragmatic Eventration: Should we Maintain Surgical Treatment? A Retrospective Multicentric Cohort Study. J Pediatr Surg. 2025;60(1):1–9.
Putri PNE, Setyati A, Wandita S. Luaran Anak dengan Eventrasi Diafragma Sinistra Pascaoperasi Plikasi Diafragma [Tesis]. 2024. Available from: https://etd.repository.ugm.ac.id/penelitian/detail/245337
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Copyright (c) 2026 Filza RA Aslam, Ibrahim Ismar, Tubagus OR Wahid, Andrea Valentino, Salamullah Salamullah, Viona Sabrina
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