Massive intrathoracic stomach from chronic diaphragmatic rupture

Case contributed by Assoc Prof Craig Hacking

Presentation

Central chest pain.

Patient Data

Age: 50 years
Gender: Male

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.

Case Discussion

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.

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Case information

rID: 73086
Published: 2nd Jan 2020
Last edited: 3rd Jan 2020
Inclusion in quiz mode: Included

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