4- Conclusion
Bilateral DE has a variable presentation in the neonatal period, making
diagnosis challenging. It should be considered in any infant with
respiratory distress and lower lobe opacities on X-ray. MRI is the best
modality to confirm the diagnosis. The timing of repair is not well
defined but dependent on the severity of symptoms as well as the size of
the baby. Surgical repair should be considered early in symptomatic
cases to prevent complications and sequelae of prolonged respiratory
insufficiency. Risks of early intervention must be weighed against the
potential benefits of delaying surgery to allow the baby time to grow.
Bilateral diaphragmatic eventration can present as an isolated finding
or in association with other anomalies and conditions which should be
investigated. Follow-up of patients with diaphragmatic eventration is
necessary for possible complications or recurrence of eventration.