title: Tension pneumothorax secondary to a gastropleural fistula in a traumatic diaphragmatic hernia.
abstract: We report a case of tension pneumothorax due to a gastropleural fistula resulting from perforation of the stomach in a traumatic diaphragmatic hernia. Awareness of perforation of strangulated stomach or bowel in a diaphragmatic hernia as a cause of pneumothorax, with or without tension physiology, in a patient with a history of trauma is important so that surgical repair can be undertaken without delay.
authors.affiliation: Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia.
authors.forename: R J
authors.initials: RJ
authors.lastname: Schwab
authors.forename: J G
authors.initials: JG
authors.lastname: Jarvik
mesh_terms: D000328:Adult; D005402:Fistula / Q000150:complications*; D005747:Gastric Fistula / Q000150:complications*; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications*; D006801:Humans; D008297:Male; D010995:Pleural Diseases / Q000150:complications*; D011030:Pneumothorax / Q000209:etiology*; D013270:Stomach / Q000293:injuries