Accessory diaphragm in an infant

doi:10.1016/S0022-3468(81)80851-2

Journal of Pediatric Surgery

Volume 16, Issue 6, December 1981, Pages 947-949

https://doi.org/10.1016/S0022-3468(81)80851-2 Get rights and content

Accessory diaphragm is a rare congenital abnormality that almost always occurs on the right side and is often associated with cardiovascular anomalies. This paper describes the clinical presentation, radiologic diagnosis, and surgical treatment of the condition. Early recognition and prompt surgical treatment will prevent the chronic pulmonary complications reported in the literature.

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There are more references available in the full text version of this article.

Cited by (7)

Accessory hemi diaphragm
2014, Journal of Pediatric Surgery
Accessory hemi diaphragm (AHD) is an uncommon condition. Its clinical features, diagnosis and management have not been clearly defined.
We reviewed the world literature and added a case of our own.
There are 40 proven cases in the literature. The lesion occurs almost exclusively in the right hemithorax. Twenty seven cases presented with cardiovascular and/or respiratory symptoms while 3 had symptoms pertaining to other systems. In the remaining 10 patients the diagnosis was either made accidentally or information pertaining to their presentation is missing. Abnormalities of pulmonary and systemic blood vessels often accompany the abnormality. The diagnosis is usually suspected because of an abnormal chest radiograph and confirmed by a variety of tests.
If the AHD prevents proper aeration of the lung it should be excised. If vascular abnormalities coexist they should be treated along with the AHD. Asymptomatic patients may be observed after confirming the diagnosis.
Sonographic evaluation of normal diaphragmatic thickness and excursion in Malaysia paediatric population: A single-institution cross-sectional study
2022, Medical Journal of Malaysia
Accessory diaphragm associated with non-immune hydrops fetalis
2014, BMJ Case Reports
Thoracoscopic resection of accessory diaphragm and extralobar pulmonary sequestration
2001, Pediatric Endosurgery and Innovative Techniques
ACCESSORY DIAPHRAGM CONTRIBUTING TO RESPIRATORY INSUFFICIENCY IN A CHILD WITH PROGRESSIVE THORACOLUMBAR SPINAL SCOLIOSIS
1993, Australian and New Zealand Journal of Surgery
Retrosternal density: Pulmonary underdevelopment or accessory hemidiaphragm
1991, Pediatric Pulmonology

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^*: Presented before the Twelfth Annual Meeting of the American Pediatric Surgical Association together with the British Association of Paediatric Surgeons, Tarpon Springs, Florida, April 29–May 2, 1981.

¹: From the Division of Pediatric Surgery, The Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, Penn.

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Accessory diaphragm in an infant*

J Thorac Surg

J Thorac Surg

J Thorac Surg

J Thorac Surg

J Pediatr

Dis Chest

Radiol Clin North Am

J Thorac Cardiovasc Surg

J Thorac Cardiovasc Surg