1. Survival case of acute and severe respiratory distress due to spontaneous tension gastrothorax.
- Author
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Asanaru Kunju S, Ravindra P, Madabushi Vijay RK, and Pattath Sankaran P
- Subjects
- Abdominal Pain etiology, Cardiac Tamponade diagnosis, Chest Tubes, Diagnosis, Differential, Diaphragm diagnostic imaging, Diaphragm surgery, Dyspnea etiology, Electrocardiography, Female, Hernia, Diaphragmatic etiology, Hernia, Diaphragmatic surgery, Humans, Pneumothorax diagnosis, Pulmonary Embolism diagnosis, Respiratory Distress Syndrome diagnosis, Rupture, Spontaneous complications, Rupture, Spontaneous diagnosis, Rupture, Spontaneous surgery, Stomach diagnostic imaging, Thoracostomy, Thoracotomy instrumentation, Treatment Outcome, Ultrasonography, Young Adult, Diaphragm pathology, Hernia, Diaphragmatic diagnosis, Herniorrhaphy methods, Respiratory Distress Syndrome etiology, Resuscitation methods
- Abstract
A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful., Competing Interests: Competing interests: None declared., (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2020
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