Title: Tension Gastrothorax
Authors: Dr Pratima Thakur, Dr Vinod Bhardwaj, Dr Richa Basit, Dr Pradeep Attri, Dr Chandershekhar, Dr Banita Negi
DOI: https://dx.doi.org/10.18535/jmscr/v7i8.116
Abstract
Tension gastrothorax is an emergency which present with acute onset of shortness of breath and may be easily confused with pneumothorax. Delay in diagnosis and intervention may be life threatening. X ray chest and CT chest are very important to make a diagnosis and surgical repair of the defect through which the gastric contents herniate into diaphragm is the definitive management.
Keywords: Gastrothorax, Shortness Of Breath, Emergency, Pneumothorax.
References
- Ordog J, Wasserberger J, Balasubramanian S. Tension Gastrothorax complicating post-traumatic rupture of the diaphragm. Am J Emerg Med. 1984;2:219–21. doi: 10.1016/0735-6757(84)90008-1.
- Nitecki S, Bar-Maor JA. Late presentation of Bochdalek hernia; our experience and review of the literature. Isr Med Sci. 1992;28:711–4.
- Horst M, Sacher P, Molz G, Willi UV, Meuli M. Tension gastrithorax. J Pediatr Surg. 2005;40:1500–4. doi: 10.1016/j.jpedsurg.2005.05.079.
- Coren ME, Rosenthal M, Bush A. Congenital diaphragmatic hernia misdiagnosed as tension pneumothorax. PediatrPulmomnol. 1997;24:119–21. doi: 10.1002/(SICI)1099-0496(199708) 24:2<119::AID-PPUL8>3.0.CO;2-J.
- Ng J, Rex D, Sudhakaran N, Okoye B, Mukhtar Z. Tension gastrothorax in children: Introducing a management algorithm. J Pediatr Surg. 2013;48:1613–7
- de Jager CP, Trof RJ. Images in clinical medicine. Gastrothorax simulating acute tension pneumothorax. The New England journal of medicine. 351 (6): e5. doi:10.1056/NEJMicm030515.