Incidentally detected diaphragmatic eventration as para-cardiac thoracic activity on myocardial perfusion imaging

IF 3 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Nuclear Cardiology Pub Date : 2025-01-01 DOI:10.1016/j.nuclcard.2024.101817

Hardik Veerwal MD, Komal Preet MBBS, Ashwani Sood DNB, Harpreet Singh MD, Madan Parmar MSc, Bhagwant R. Mittal MD, DNB

引用次数: 0

Abstract

Diaphragmatic eventration is the elevation of hemi-diaphragm without any disruption to diaphragmatic continuity which can be congenital or acquired. The most common acquired cause is phrenic nerve paralysis due to traumatic causes and is usually incidentally diagnosed on chest radiograph or computed tomography. We hereby report a case of a patient who had road traffic accident with fracture of the left proximal femur. Stress Myocardial Perfusion Imaging (MPI) done for pre-operative clearance showed an incidental tracer avidity adjoining to left myocardium in the thorax. It was confirmed on anatomical imaging to be gastric cavity uptake due to diaphragm eventration.

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心肌灌注成像中偶然检测到的膈肌偶发性胸廓旁活动。

膈肌连张是指半膈肌隆起，但没有破坏膈肌的连续性，可能是先天性的，也可能是后天性的。最常见的后天性原因是外伤导致的膈神经麻痹，通常在胸片或计算机断层扫描中偶然被诊断出来。我们在此报告一例因道路交通事故导致左股骨近端骨折的患者。为进行术前检查而进行的应激心肌灌注成像（MPI）显示，胸腔左心肌附近偶然出现示踪剂嗜性。经解剖成像证实，这是由于横膈膜连通导致的胃腔摄取。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nuclear Cardiology 医学-核医学

CiteScore

5.30

自引率

20.80%

发文量

249

审稿时长

4-8 weeks

期刊介绍： Journal of Nuclear Cardiology is the only journal in the world devoted to this dynamic and growing subspecialty. Physicians and technologists value the Journal not only for its peer-reviewed articles, but also for its timely discussions about the current and future role of nuclear cardiology. Original articles address all aspects of nuclear cardiology, including interpretation, diagnosis, imaging equipment, and use of radiopharmaceuticals. As the official publication of the American Society of Nuclear Cardiology, the Journal also brings readers the latest information emerging from the Society''s task forces and publishes guidelines and position papers as they are adopted.