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Tension pneumothorax due to perforated colon
#MMPMID27247208
Abdullah M
; Stonelake P
BMJ Case Rep
2016[May]; 2016
(?): ? PMID27247208
show ga
A very rare case of traumatic diaphragmatic hernia is reported in a 65-year-old
woman who presented 46?years after her initial thoracoabdominal injury with
tension faecopneumothorax caused by a perforated colon in the chest cavity. She
presented in a critical condition with severe respiratory distress, sepsis and
acute kidney injury. She had a long-standing history of bronchial asthma with
respiratory complications and had experienced progressive shortness of breath for
the past year. A recent CT scan had excluded the presence of a diaphragmatic
hernia but showed a significantly raised left hemidiaphragm. On admission, chest
X-rays showed a significantly raised left hemidiaphragm and mediastinal shift,
but the possibility of a diaphragmatic hernia with strangulated bowel in the
chest was not suspected until the patient was reviewed by the surgical and
intensive care unit consultants the next morning and a repeat CT performed. She
had a successful outcome after her emergency operation.
free
free
free
