An unusual case of a tension pneumothorax

Author:

Redwan Bassam1ORCID,Kirstein Robert2,Kösek Volkan1,Thiel Burkhard1,Zirngibl Hubert34,Schmitz Björn2

Affiliation:

1. Department of Thoracic Surgery, Klinik am Park, Klinikum Westfalen , Lünen , Germany

2. Department of General Surgery, Klinik am Park, Klinikum Westfalen , Lünen , Germany

3. Depertment of Surgery , Helios University Hospital Wuppertal, , Wuppertal , Germany

4. University of Witten/Herdecke , Helios University Hospital Wuppertal, , Wuppertal , Germany

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference11 articles.

1. Observation of perforation of gastric ulcer in a giant hiatal hernia;Bartosh;Klin Khir,2014

2. Gastric perforation through a hiatus hernia into the left lung in an 84-year-old woman;Fitzpatrick;BMJ Case Rep,2019

3. Gastric perforation secondary to an incarcerated paraesophageal hernia;Fukai;Surg Case Rep,2019

4. Intrathoracic gastric perforation: a late complication of an unknown postpartum recurrent hiatal hernia;Lococo;Interact Cardiovasc Thorac Surg,2012

5. The diagnosis and management of hiatus hernia;Roman;BMJ,2014

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