Singh, Deepwant, Mackeith, Pieter and Gopal, Dipesh Pravin (2016) Acute non-traumatic gastrothorax:presentation of a case with chest pain and atypical radiologic findings. Medwave, 16 (2). ISSN 0717-6384
Full text not available from this repository. (Request a copy)Abstract
A previously well 71-year-old woman presented to the Emergency Department with acute-onset left-sided chest pain. She was haemodynamically stable with unremarkable systemic examination. Her electrocardiogram and troponin were within normal limits and her chest radiograph showed a raised left hemi-diaphragm. Two hours after admission, this woman became acutely breathless, and suffered a pulseless electrical activity cardiac arrest. After cardiopulmonary resuscitation, there was a return of spontaneous circulation and regained consciousness. A repeat clinical assessment revealed a new left-sided dullness to percussion with contralateral percussive resonance on respiratory examination. CXR revealed a left pan-hemi-thoracic opacity whilst better definition using CT-pulmonary angiography (CTPA) indicated an acute tension gastrothorax secondary to a large left-sided diaphragmatic hernia. Nasogastric (NG) tube insertion was used to decompress the stomach and the patient underwent uncomplicated emergency laparoscopic hernia reduction. She remained well at 1-year follow-up.
Item Type: | Article |
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Uncontrolled Keywords: | cardiopulmonary arrest,diaphragmatic hernia,laparoscopic surgery |
Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
Related URLs: | |
Depositing User: | Pure Connector |
Date Deposited: | 25 Jul 2017 05:09 |
Last Modified: | 22 Oct 2022 02:55 |
URI: | https://ueaeprints.uea.ac.uk/id/eprint/64245 |
DOI: | 10.5867/medwave.2016.02.6409 |
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