{"title":"腹腔镜阑尾切除术后右膈肌麻痹1例。","authors":"Jurij Janež","doi":"10.1177/2050313X251349932","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251349932"},"PeriodicalIF":0.6000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181699/pdf/","citationCount":"0","resultStr":"{\"title\":\"Paralysis of the right diaphragm after laparoscopic appendectomy: A case report.\",\"authors\":\"Jurij Janež\",\"doi\":\"10.1177/2050313X251349932\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":21418,\"journal\":{\"name\":\"SAGE Open Medical Case Reports\",\"volume\":\"13 \",\"pages\":\"2050313X251349932\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12181699/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"SAGE Open Medical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/2050313X251349932\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"SAGE Open Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2050313X251349932","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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.
期刊介绍:
SAGE Open Medical Case Reports (indexed in PubMed Central) is a peer reviewed, open access journal. It aims to provide a publication home for short case reports and case series, which often do not find a place in traditional primary research journals, but provide key insights into real medical cases that are essential for physicians, and may ultimately help to improve patient outcomes. SAGE Open Medical Case Reports does not limit content due to page budgets or thematic significance. Papers are subject to rigorous peer review and are selected on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, SAGE Open Medical Case Reports facilitates the discovery of the connections between papers, whether within or between disciplines. Case reports can span the full spectrum of medicine across the health sciences in the broadest sense, including: Allergy/Immunology Anaesthesia/Pain Cardiovascular Critical Care/ Emergency Medicine Dentistry Dermatology Diabetes/Endocrinology Epidemiology/Public Health Gastroenterology/Hepatology Geriatrics/Gerontology Haematology Infectious Diseases Mental Health/Psychiatry Nephrology Neurology Nursing Obstetrics/Gynaecology Oncology Ophthalmology Orthopaedics/Rehabilitation/Occupational Therapy Otolaryngology Palliative Medicine Pathology Pharmacoeconomics/health economics Pharmacoepidemiology/Drug safety Psychopharmacology Radiology Respiratory Medicine Rheumatology/ Clinical Immunology Sports Medicine Surgery Toxicology Urology Women''s Health.