Stabbing chest pain: a case of intermittent diaphragmatic herniation.
A case of traumatic diaphragmatic herniation is described in which gross mediastinal shift was caused by a combination of the herniated abdominal organs, purulent exudate, and air. This complex presentation might best be described as a case of gastrocolopyopneumothorax, diagnosis of which was further complicated by the intermittent nature of the herniation.
Ransom
P
P
Emergency Department, Hastings Conquest Hospital, East Sussex, UK. pransom@mistral.co.uk
Cornelius
P
P
D000328:Adult; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008482:Mediastinum; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D011859:Radiography; D013898:Thoracic Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D013908:Thoracotomy; D014951:Wounds, Stab / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery