Paralysis of the right diaphragm after laparoscopic appendectomy: A case report

Paralysis of the diaphragm is often associated with direct phrenic nerve injury during operative procedures. It is common after cardiac surgery, but it can also happen after central venous cannulation. Diaphragmatic paralysis is also described after anatomically distant surgery. Two cases have been described after uncomplicated laparoscopic cholecystectomy. We describe an unusual case of a 28-year-old male patient, without previous medical history, who was diagnosed with right diaphragm paralysis after an uncomplicated laparoscopic appendectomy and Meckel diverticulum excision. After diagnostics at the pulmonology clinic, the exact cause of his condition was not established. His condition improved without specific treatment. After discharge from the hospital, he had follow-ups at the pulmonology outpatient clinic. According to our knowledge, this is the first such case described in English literature.

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Publication Details

Journal
SAGE Open Medical Case Reports
Published
2025-06-20
DOI
https://doi.org/10.1177/2050313x251349932
Primary Topic
Congenital Diaphragmatic Hernia Studies
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article
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article

Paralysis of the right diaphragm after laparoscopic appendectomy: A case report

Jurij Janež
SAGE Open Medical Case Reports
Congenital Diaphragmatic Hernia Studies
article

Paralysis of the right diaphragm after laparoscopic appendectomy: A case report

Jurij Janež
article en

Abstract

Paralysis of the diaphragm is often associated with direct phrenic nerve injury during operative procedures. It is common after cardiac surgery, but it can also happen after central venous cannulation. Diaphragmatic paralysis is also described after anatomically distant surgery. Two cases have been described after uncomplicated laparoscopic cholecystectomy. We describe an unusual case of a 28-year-old male patient, without previous medical history, who was diagnosed with right diaphragm paralysis after an uncomplicated laparoscopic appendectomy and Meckel diverticulum excision. After diagnostics at the pulmonology clinic, the exact cause of his condition was not established. His condition improved without specific treatment. After discharge from the hospital, he had follow-ups at the pulmonology outpatient clinic. According to our knowledge, this is the first such case described in English literature.

SAGE Open Medical Case ReportsVol. 13
University of Ljubljana (SI), Ljubljana University Medical Centre (SI)
Good health and well-being
Openalex Percentile: Top 75%
Congenital Diaphragmatic Hernia Studies
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Paralysis of the right diaphragm after laparoscopic appendectomy: A case report — Jurij Janež · SAGE Open Medical Case Reports (2025) | TGRS Research Map | TGRS