Document Detail

When is a pneumothorax not a pneumothorax?
MedLine Citation:
PMID:  15793743     Owner:  NLM     Status:  MEDLINE    
The authors report on a 13-year-old boy who, after exercise, had respiratory distress and left upper quadrant abdominal pain. Initially, a mistaken diagnosis of pneumothorax was made, and a chest tube was inserted. A nasogastric tube was then visualized on chest x-ray in the left hemithorax. He underwent a laparotomy and had herniation of spleen, stomach, and large and small bowel in the left pleural space passing through a traumatic defect in the hemidiaphragm. The laparoscopic Nissen fundoplication 3 years prior was felt to have contributed. A timely and correct diagnosis is essential to avoid the sequelae associated with these injuries and with inappropriate tube thoracostomy.
Sinead Harte; Rowan G Casey; Des Mannion; Martin Corbally
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  40     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-03-28     Completed Date:  2006-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  586-7     Citation Subset:  IM    
Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
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MeSH Terms
Abdominal Pain / etiology
Chest Tubes
Colonic Diseases / etiology
Diagnostic Errors*
Dyspnea / etiology
Esophagitis, Peptic / surgery
Hernia, Diaphragmatic, Traumatic / diagnosis*,  etiology,  surgery
Intubation, Gastrointestinal
Pneumothorax / diagnosis*
Postoperative Complications / diagnosis*,  etiology,  surgery
Splenic Diseases / etiology
Stomach Diseases / etiology
Surgical Wound Dehiscence / complications,  diagnosis*,  surgery
Unnecessary Procedures

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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