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Year : 2017  |  Volume : 6  |  Issue : 4  |  Page : 241-244

Acute tension gastrothorax in an adult

1 Department of Pulmonary Medicine, Apollo Speciality Hospital, Nellore, India
2 Department of Radiology and Imaging sciences, Apollo Speciality Hospital, Nellore, India
3 Department of Surgical Gastroenterology, Apollo Speciality Hospital, Nellore, India

Correspondence Address:
K Gowrinath
Senior consultant, Department of Pulmonary Medicine, Apollo Speciality Hospital, Nellore
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Source of Support: None, Conflict of Interest: None

DOI: 10.15380/2277-5706.JCSR.17.10.002

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Tension gastrothorax is a rare life threatening condition and may occur as an unusual complication of Bochdalek's hernia (BH) in an adult. We report the rare occurrence of acute tension gastrothorax in a 21-year-old male with BH. The tension gastrothorax was due to acute organo-axial volvulus and the diagnosis was established by the computed tomography (CT) of chest. The risk of misdiagnosis is high when air and fluid in the dilated stomach simulates hydropneumothorax clinically and is interpreted through postero-anterior chest radiograph alone. In our case, percutaneous fine needle aspiration of fluid within the dilated stomach facilitated nasogastric tube insertion decompressing the stomach and allowed surgery to be done electively.

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