Tension Gastrothorax as a Late Consequence
of an Undiagnosed Rupture of the Diaphragm
Chmátal P.1, Novotný M.2, Kupka P.1, Voldřich M.2
1 Chirurgické oddělení Ústřední vojenské nemocnice Praha, primář prof. MUDr. M. Ryska, CSc. 2 Oddělení intenzivní péče chirurgických oborů Ústřední vojenské nemocnice Praha,primář MUDr. Z. Fuksa |
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Summary:
The authors present a case-review of a 20-year-old male who suffered from a car accident polytruma (the ISS 22, brain
contusion, lung contusion, serial ribs fructures, fracture of the Th8, haematoma of the left kidney with haematuria). Surgery
was not indicated, his thorax and abdomen were repeatedly examined with x-rays, ultrasound and CT scans, during the patient‘
s hospitalization and during the follow-up period. After some time, the stomach expansion in the pleural cavity imitated
the clinical and roentgenological findings typical for the tension pneumothorax. Urgent drainage solved the cardiopulmonary
failure and cleared up the diagnosis. This atypical case is followed by a short literature overview.
Key words:
rupture of the diaphragm – tension gastrothorax
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