Debashish Dhar1, Md Khairul Hassan Jessy2, Salma Akhter3, Jalal Mohsin Uddin4

Abstract
Eventration of the diaphragm is a disorder in which all or part of the diaphragmatic muscle is replaced by
fibroelastic tissue. The incidence of evantration is uncertain, although one paper reports that this entity is
detected in 1 per 1400 chest radiographies. This article reports a case of right-sided eventration of diaphragm
in a 40 years old obese man who was admitted to NIDCH with complaints of recurrent cough and Sputum
production for the last few months. Reduction in breath sound on the right side and dullness were detected
by the physical examination. X-ray chest in posteroanterior (PA) and CT scan chest exhibited elevation of
the right diaphragm with inflammatory changes. During hospitalization patient was treated with
antihypertensive drugs, lipid lowering agent and with asetylsistein. He was adviced a low caloric diet
without salt. Upper respiratory tract symptoms were regressed by injectable antibiotics. He was hospitalized
for 10 days for diagnosis and weight reduction as well. Thus; the patient was discharged from the institution
with the information about diaphragm eventration and obesity, and advised of their symptoms, warnings
and guarding herself against trauma, and referred to a nutritionist for obesity management. Our experience
highlights the fact that any obese patient with recurrent upper respiratory tract infection should be evaluated
for any diaphragmatic abnormalities like eventration.
Key Words: Eventration, Obesity.
Abbreviation: ICS: Inter Costal Space.

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