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Case Reports
. 2022 Nov 16;2022(11):rjac496.
doi: 10.1093/jscr/rjac496. eCollection 2022 Nov.

An unusual case of a tension pneumothorax

Bassam Redwan  1 , Robert Kirstein  2 , Volkan Kösek  1 , Burkhard Thiel  1 , Hubert Zirngibl  3 , Björn Schmitz  2
Affiliations
Case Reports

An unusual case of a tension pneumothorax

Bassam Redwan et al. J Surg Case Rep. .

Abstract

A total intra-thoracic stomach describes the case of a complete herniation of the stomach into the thoracic cavity. Symptoms may vary from mild to an acute life-threatening situation in case of perforation or bleeding, requiring emergency surgery. Here we describe the case of a gastric perforation leading to a tension pneumothorax and concomitant pleural empyema due to a giant hiatal recurrence after previous surgery. Multidisciplinary management involving thoracic surgeons helped in achieving the best clinical outcome for the patient.

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Figures

Figure 1
Figure 1
Chest/abdomen computed tomography showing a new recurrence with complete up-side-down stomach and compression of the left lower lung lobe.
Figure 2
Figure 2
Chest X-ray showing a large left-sided tension seropneumothorax with a right-sided mediastinal shift. Chest CT-scan after insertion of a chest tube.
Figure 3
Figure 3
Intraoperative finding with the gastric perforation.
See this image and copyright information in PMC

References

    1. Bartosh AM, Arseniuk VV, Hryniv OV, Vasyl'ianov DS, Voitenko II, Smotrov MI. Observation of perforation of gastric ulcer in a giant hiatal hernia. Klin Khir 2014;12:74–5. - PubMed
    1. Fitzpatrick D, Longondjo M. Gastric perforation through a hiatus hernia into the left lung in an 84-year-old woman. BMJ Case Rep 2019;12:1–3. - PMC - PubMed
    1. Fukai S, Kubota T, Mizokami K. Gastric perforation secondary to an incarcerated paraesophageal hernia. Surg Case Rep 2019;5:94. - PMC - PubMed
    1. Lococo F, Cesario A, Meacci E, Granone P. Intrathoracic gastric perforation: a late complication of an unknown postpartum recurrent hiatal hernia. Interact Cardiovasc Thorac Surg 2012;15:317–8. - PMC - PubMed
    1. Roman S, Kahrilas PJ. The diagnosis and management of hiatus hernia. BMJ 2014;349:g6154. - PubMed

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