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- Title
Tension gastrothorax secondary to trauma in the emergency room: A case report.
- Authors
Algın, Abdullah; Erdoğan, Mehmet Özgür; Sarıaydın, Mehmet; Bozan, Korkut; Özdemir, Serdar; İnan, İbrahim
- Abstract
In tension gastrothorax, the abdominal contents are displaced into the thorax, leading to a mediastinal shift that arises from the pressure placed on the intrathoracic region. This condition is often due to a congenital or acquired (secondary to surgery) diaphragmatic defect and is rarely seen secondary to trauma. A 40-year-old man presented to the emergency department after an in-vehicle traffic accident. He had no active complaint other than mild chest pain. On auscultation, breath sounds were audible in the left lung base and bowel sounds were heard. Computed tomography of the thorax revealed left-sided diaphragmatic hernia. The jugular vein was distended, and the patient became desaturated in the emergency room. Nasogastric decompression was performed, and the saturation improved. The patient underwent open surgery. Traumatic tension gastrothorax should be considered in the differential diagnosis of acute-onset severe respiratory failure. It can be diagnosed by rapid clinical and radiological evaluation.
- Subjects
INJURY complications; HERNIOGRAPHY; CHEST X rays; CHEST pain; DIFFERENTIAL diagnosis; HOSPITAL emergency services; JUGULAR vein; OXYGEN in the body; TRAFFIC accidents; SURGICAL decompression
- Publication
Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi, 2020, Vol 26, Issue 5, p826
- ISSN
1306-696X
- Publication type
Article
- DOI
10.14744/tjtes.2019.94694