Massive intrathoracic stomach from chronic diaphragmatic rupture
Central chest pain.
Loading Stack -
0 images remaining
A single loop of colon and the dilated stomach with an air-fluid level are located in the mediastinum representing a massive diaphragmatic hernia. No evidence of pneumomediastinum.
The stomach was decompressed with a gastric tube with good effect and the patient underwent a semi-elective diaphragmatic repair which found a large left diaphragmatic tear. The patient subsequently gave a history of significant childhood trauma (dirtbike accident) in a rural setting with little medical intervention.