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Diaphragmatic rupture after epidural anaesthesia in a patient with diaphragmatic eventration

Published online by Cambridge University Press:  16 August 2006

M. Faheem  and
A. Fayad
M. Faheem
Affiliation:
Department of Anaesthesia, Cavan General Hospital, Co Cavan, Eire
A. Fayad
Affiliation:
Department of Anaesthesia, Cavan General Hospital, Co Cavan, Eire
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Abstract

An 85-year-old man with undiagnosed eventration of the left hemidiaphragm had an above-knee amputation under epidural anaesthesia. His post-operative course was stormy with two episodes of cardiovascular collapse. On the third post-operative day, rupture of the left hemidiaphragm was diagnosed, the bowel had herniated into the left hemithorax. It is proposed that the left hemidiaphragm ruptured spontaneously because of muscular weakness secondary to the thoracic segmental blockade associated with lumber epidural anaesthesia.

Keywords

anaesthetic techniquesepidural anaesthesiadiaphragmatic eventrationcongenital diaphragmatic hernia
Type
Case Report
Information
European Journal of Anaesthesiology , Volume 16 , Issue 8 , August 1999 , pp. 574 - 576
Copyright
1999 European Society of Anaesthesiology

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