Document Detail

Tension Gastrothorax Complicating Third Trimester of Pregnancy: Suspicion is the Key.
MedLine Citation:
PMID:  23029632     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Gastrothorax is characterized by herniation of the stomach and other abdominal contents into the thoracic cavity either through the oesophageal hiatus or ruptured diaphragm. When gastrothorax causes pulmonary and hemodynamic compromise, due to compression of lungs and mediastinal structures, it is named as tension gastrothorax. Diagnosis of tension gastrothorax is often complicated during late pregnancy, because of unusual presentation, altered physiology, absence of trauma, hesitation about radiation exposure, and rarity of the condition. We report a case of a patient, in her 32nd week of pregnancy, who presented with left tension gastrothorax. Lower segment caesarean section was planned after steroid therapy, with all the preparations for thoracotomy. Intra-operatively, stomach, spleen, and colon were found herniated in the left hemithorax, through a ruptured left hemidiaphragm. Thoracotomy was done immediately after caesarean section, with reduction of herniated contents and repair of the defect in the diaphragm. The patient and her baby were discharged in stable condition 2 weeks after thoracotomy.
Rakesh Sharma; Deepak Rosha; Sananta K Dash; Trilok Chand
Publication Detail:
Type:  Journal Article     Date:  2012-08-30
Journal Detail:
Title:  Journal of clinical imaging science     Volume:  2     ISSN:  2156-5597     ISO Abbreviation:  J Clin Imaging Sci     Publication Date:  2012  
Date Detail:
Created Date:  2012-10-02     Completed Date:  2012-10-03     Revised Date:  2013-12-13    
Medline Journal Info:
Nlm Unique ID:  101564708     Medline TA:  J Clin Imaging Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  49     Citation Subset:  -    
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