Acute non-traumatic gastrothorax:presentation of a case with chest pain and atypical radiologic findings

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

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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
Uncontrolled Keywords: cardiopulmonary arrest,diaphragmatic hernia,laparoscopic surgery
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: Pure Connector
Date Deposited: 25 Jul 2017 05:09
Last Modified: 22 Apr 2020 14:34
URI: https://ueaeprints.uea.ac.uk/id/eprint/64245
DOI: 10.5867/medwave.2016.02.6409

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