Eventration of Right Hemidiaphrgm – A Post Covid -19 Infection Complication

Introduction and Significance: Diaphragmatic eventration is an uncommon disorder marked by partial or complete thinning of the diaphragm's muscle tissue. In this condition, the diaphragm, which is normally flexible and moves downward during inhalation, instead moves upward in a paradoxical manner. This abnormal movement leads to restricted lung function. The condition can be congenital or acquired, with acquired cases often resulting from trauma to the phrenic nerve, either from mechanical or surgical causes, compression by thoracic space-occupying lesions, or various infectious or inflammatory conditions impacting the phrenic nerve. Many individuals with this condition may remain asymptomatic for long periods, leading to frequent underdiagnosis. Clinical suspicion should prompt chest X-rays, and the diagnosis can be confirmed with chest computed tomography (CT).  Case Presentation: We report the case of a 65-year-old male who exhibited right-sided hemi-diaphragmatic eventration and experienced dyspnea over the past two years. The patient underwent a multilayer surgical plication of the right hemidiaphragm, which resulted in a successful outcome.  Clinical Discussion: The choice to proceed with surgical intervention for diaphragmatic eventration is influenced by the severity of associated complications. Patients who are symptomatic and exhibit compromised respiratory, cardiovascular, or gastrointestinal function generally require diaphragmatic plication.  Conclusion: Despite its rarity, diaphragmatic eventration is a condition that warrants careful evaluation by clinicians. Early detection and surgical intervention are key to managing and repairing this condition effectively.