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Case Reports
. 2020 Mar 17;13(3):e234628.
doi: 10.1136/bcr-2020-234628.

Co-occurrence of bilateral pneumothorax and pneumoperitoneum

Junji Ichinose  1 , Yosuke Matsuura  2 , Masayuki Nakao  2 , Mingyon Mun  2
Affiliations
Case Reports

Co-occurrence of bilateral pneumothorax and pneumoperitoneum

Junji Ichinose et al. BMJ Case Rep. .
No abstract available

Keywords: cardiothoracic surgery; pneumothorax; respiratory medicine.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Chest X-ray on admission shows bilateral pneumothorax, pleural effusion and abdominal air. (B) CT of the chest after tube drainage shows bilateral pneumothorax, pneumohypoderma and pneumoperitoneum. (C) CT revealed the defect of bilateral mediastinal pleura around the lifted stomach (arrow). (D) Thoracoscopic examination of the mediastinal pleura opening, and direct observation of the stomach and omentum (arrow).
Figure 2
Figure 2
This figure was drawn by one of the authors, Dr Ichinose. (A) Diaphragm, view from below, showing openings. Hernia of the foramen of Bochdalek, the most common congenital diaphragm hernia in 95% of cases, is followed by retrosternal hernia (Morgagni-Larrey hernia) and esophageal hernia. The patient had the pleural and peritoneal connection in the retrosternal space (red circle). (B) Thoracic cavity air can penetrate the abdominal cavity through the mediastinal pleura opening and hiatus around the stomach lifted through a retrosternal tunnel (arrow).
See this image and copyright information in PMC

References

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