title: An unusual diaphragmatic hernia with gastric perforation and sub-acute presentation.
abstract: Gastric perforation into the thoracic cavity through a diaphragmatic hernia is rare but, when it occurs, patients present in severe distress, with mortality approaching 50%. We present a unique case in which a fibrotic reaction between the stomach and the parietal pleura led to a subacute presentation upon perforation. The extra time that this afforded led to more effective multidisciplinary team management and ultimately an excellent outcome for the patient.
authors: St George's, University of London.
authors: Z
authors: Z
authors: Vinnicombe
authors: St George's, University of London.
authors: M
authors: M
authors: Little
authors: Department of Upper GI and Laparoscopic Surgery, St George's Hospital , UK.
authors: A
authors: A
authors: Wan
mesh_terms: D000368:Aged; D002637:Chest Pain / Q000209:etiology; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D000072663:Spontaneous Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013270:Stomach / Q000000981:diagnostic imaging / Q000601:surgery; D013272:Stomach Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Diaphragmatic hernia; Laparoscopic surgery; Stomach disease