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Unilateral Diaphragmatic Agenesis Precluding Laparoscopic Cholecystectomy by Abel Wakai; Desmond C. Winter; Gerald C. O'Sullivan is a scholarly article available to read on EtoBox.

What is Unilateral Diaphragmatic Agenesis Precluding Laparoscopic Cholecystectomy about?

## Background: Complete absence of a hemidiaphragm or diaphragmatic agenesis in adulthood is rare with only one previous report in the literature. Its significance in relation to performing laparoscopic procedures has not been documented previously. ## Methods: We report a case of previously undiagnosed diaphragmatic agenesis in adulthood precluding laparoscopic cholecystectomy and comprehensively review the literature for papers relevant to diaphragmatic agenesis in adulthood. ## Results: Diaphragmatic agenesis in adulthood may complicate and preclude laparoscopic cholecystectomy. The principles of investigation and management of diaphragmatic agenesis complicating laparoscopic surgery are discussed. ## Conclusions: In adults with diaphragmatic agenesis and intrathoracic abdominal viscera precluding laparoscopic cholecystectomy, conservative management is recommended.

Author

Abel Wakai; Desmond C. Winter; Gerald C. O'Sullivan