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Case Report
Diaphragmatic eventration in COVID-19 patient: A case report
1 Attending Surgeon, Department of General Surgery at Hospital IESS Quito Sur Quito-Ecuador & Universidad Internacional del Ecuador, Quito, Ecuador
2 Attending Surgeon, Department of General Surgery at Hospital IESS Quito Sur Quito-Ecuador, Quito, Ecuador
3 Chief of General Surgery, Department of General Surgery at Hospital IESS Quito Sur Quito-Ecuador, Quito, Ecuador
4 Resident, Department of Internal Medicine at Hospital IESS Quito Sur Quito- Ecuador, Quito, Ecuador
5 Attending Surgeon at Hospital Vozandes Quito, Quito, Ecuador
6 Resident, Department of Internal Medicine at Hospital IESS Quito Sur Quito-Ecuador, Quito, Ecuador
Address correspondence to:
Gabriel A Molina
Attending Surgeon, Department of General Surgery at Hospital IESS Quito Sur Quito-Ecuador, Quito,
Ecuador
Message to Corresponding Author
Article ID: 100048S05GM2020
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How to cite this article
Molina GA, Fuentes G, Herrera JM, Jiménez GE, Ayala AV, Uzcategui MI, Negrete JR, Galarza AJ. Diaphragmatic eventration in COVID-19 patient: A case report. Edorium J Surg 2020;7:100048S05GM2020.ABSTRACT
Introduction: Diaphragmatic eventration is a rare pathology that can potentially affect respiratory functions. They are usually asymptomatic and discovered as an incidental finding; however, in critically ill patients, the lack of respiratory effort could create respiratory difficulties. As the COVID-19 pandemic continues, more people will require mechanical ventilation, developing more diaphragmatic complications. The full extent of this pandemic, including dilemmas, treatment, and long-term complications, will only be available if close follow-up is conducted.
Case Report: We present the case of a 69-year-old female patient; a diaphragmatic eventration was discovered during her stay in the intensive care unit (ICU). Thankfully she completely recovered and on follow-ups are doing well.
Conclusion: Oxygen therapy in patients with severe COVID-19 saves lives, many will need mechanical ventilation, and more and more patients will develop diaphragmatic dysfunction as a side effect of this therapy. The long-term effects of this pandemic are yet to be discovered, nonetheless close follow-up will be essential to reveal the real nature of this disease, its treatment, and complications.
Keywords: COVID-19, Diaphragmatic eventration, Mechanical ventilation
SUPPORTING INFORMATION
Author Contributions:
Gabriel A Molina - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Germanico Fuentes - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Juan M Herrera - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Galo Enrique Jimén - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andres Vinicio Ayala - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Maria Isabel Uzcategui - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
José Ricardo Negrete - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Andres Jiménez Galar - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Gabriel A Molina et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
