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10.1136/bcr-2016-215325

http://scihub22266oqcxt.onion/10.1136/bcr-2016-215325
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C4904397!4904397!27247208
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suck abstract from ncbi

pmid27247208      BMJ+Case+Rep 2016 ; 2016 (ä): ä
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  • Tension pneumothorax due to perforated colon #MMPMID27247208
  • Abdullah M; Stonelake P
  • BMJ Case Rep 2016[]; 2016 (ä): ä PMID27247208show 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.
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