Tension gastrothorax

Case contributed by Jayanth Keshavamurthy , 29 Jan 2017
Diagnosis certain
Changed by Tim Luijkx, 21 Mar 2017

Updates to Study Attributes

Findings was changed:

Large area of lucency occupying most of the lower portion of the left hemithorax. AirpsaceAirspace opacification in right lower zone.

Images Changes:

Image X-ray (Frontal) ( update )

Description was changed:
Acute intra thoracicintrathoracic left sided gastric herniation but mis diagnosed on floormisdiagnosed as pneumothorax.

Updates to Study Attributes

Findings was changed:
  • Acute herniation of the gas and fluid distended fundus and body of the stomach into the left chest without evidence for volvulus or gastric ischemiaischaemia.
  •  AssociatedAssociated compressive atelectasis left lower lobe and lingular segment left upper lobe, trace left pneumothorax and trace pleural fluid. Left chest tube in good position.
  •  TraceTrace right pneumothorax with moderate simple right pleural effusion and small to moderate dependent atelectasis.
  •  MeshMesh appears to bulge through the gastro-oesophageal junction.
  •  NasogastricNasogastric tube terminates in the distal esophagus, likely obstructed at the gastro-oesophageal junction by the herniated stomach.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.