Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T09:27:59.713Z Has data issue: false hasContentIssue false

Diaphragmatic rupture after epidural anaesthesia in a patient with diaphragmatic eventration

Published online by Cambridge University Press:  16 August 2006

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

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.

Type
Case Report
Copyright
1999 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)