title: Incarcerated diaphragmatic hernia with bowel perforation presenting as a tension pneumothorax.
abstract: We present an interesting case of a patient with a previously known diaphragmatic hernia in which the colon became incarcerated, ischemic and finally perforated. She had no prior history of abdominal pain or vomiting, yet she presented with cardiovascular collapse. She was quickly diagnosed with a tension pneumothorax and treated accordingly. To our knowledge, this is the only case report of a tension pneumothorax associated with perforated bowel that was not in the setting of trauma or colonoscopy.
authors.affiliation: Mercy Health Partners, Muskegon, Michigan.
authors.forename: Ryan P
authors.initials: RP
authors.lastname: Offman
authors.affiliation: Michigan State University College of Osteopathic Medicine, East Lansing, Michigan.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Spencer
mesh_terms: D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011030:Pneumothorax / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012805:Sickle Cell Trait / Q000150:complications; D014057:Tomography, X-Ray Computed