title: Tension gastrothorax in a child presenting with abdominal pain.
abstract: A 4-year-old girl was brought to our hospital by her parents because of abdominal pain. She had suffered minor trauma after rolling from her standard-height bed 2 days prior. Vital signs were appropriate for age. Physical examination was remarkable for decreased breath sounds to the left side of the chest. A chest radiograph (Figure) demonstrated a large gas-filled structure in the left side of the chest with mediastinal shift.
authors.affiliation: Los Angeles County USC Medical Center, Department of Emergency Medicine, Los Angeles, California.
authors.forename: Ross
authors.initials: R
authors.lastname: Hooker
authors.forename: Ilene
authors.initials: I
authors.lastname: Claudius
authors.forename: Anh
authors.initials: A
authors.lastname: Truong