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Diaphragm paralysis after nephrectomy
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  1. A Chetta,
  2. M Aiello,
  3. D Olivieri
  1. Department of Clinical Sciences, Section of Respiratory Diseases, University of Parma, Italy
  1. Correspondence to:
    Professor A Chetta
    Clinica Pneumologica, Dipartimento di Scienze Cliniche, Padiglione Rasori, Viale G Rasori 10, 43100 Parma, Italy; chetta{at}unipr.it

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We read with interest the case report by Moore et al1 on the diaphragm weakness of two patients after anatomically distant surgery.

We are currently following a patient who had bilateral paralysis of the diaphragm after a nephrectomy for renal cancer. The patient, a 60 year old male non-smoker without any concomitant cardiac or lung disease, underwent surgery in August 2004 and immediately after the operation he complained of orthopnoea. Chest radiographs showed the elevation of both hemidiaphragms, which was not present preoperatively, along …

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