scholarly journals EATING THE HEART OUT: A RARE CASE OF TENSION GASTROTHORAX CAUSING OBSTRUCTIVE SHOCK

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A711
Author(s):  
Oriade Adeoye ◽  
Sunjeet Kaur ◽  
Vidya Krishnan
2020 ◽  
Vol 13 (9) ◽  
pp. e235281
Author(s):  
Sanjan Asanaru Kunju ◽  
Prithvishree Ravindra ◽  
Ramya Kumar Madabushi Vijay ◽  
Priya Pattath Sankaran

A 20-year-old woman presented with abdominal pain and shortness of breath. She was in obstructive shock with absent breath sounds on the left haemithorax. Chest X-ray showed a large radiolucent shadow with absent lung markings and mediastinal shift to the right side with concerns for tension pneumothorax. Though tube thoracostomy was done on the left side of the chest, column movement was absent. To confirm the diagnosis CT with contrast was done that revealed a huge left side diaphragmatic defect with abdominal contents in the thorax and mediastinal structures are shifted to left. She underwent emergency laparotomy and postoperative period was uneventful.


2021 ◽  
Vol 14 (11) ◽  
pp. e246101
Author(s):  
Chidiebere Peter Echieh ◽  
Chimaobi I Nwagboso ◽  
Stephen Omirigbe Ogbudu ◽  
Josiah M Njem

Tension gastrothorax is a form of obstructive shock resulting from increased intrathoracic pressure due to a distended herniated stomach. The clinical features of tension gastrothorax are similar to the clinical features of the more common tension pneumothorax. Clinical recognition of this trauma has remained difficult especially in the tropics where most responders are not specialists. We managed a 31-year-old male who, in addition to typical features of obstructive shock secondary to increased intrathoracic pressures, had a recent meal prior to the trauma and a scaphoid abdomen at presentation. We argue that a history of a recent meal before trauma and an unusually scaphoid abdomen could be suggestive of tension gastrothorax and may help to differentiate it from tension pneumothorax. We recommend improved emergency preparedness to help recognise and treat this pathology.


Author(s):  
S. K. Peng ◽  
M.A. Egy ◽  
J. K. Singh ◽  
M.B. Bishop

Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.


2015 ◽  
Vol 21 ◽  
pp. 143
Author(s):  
Elizabeth Sanchez Rangel ◽  
Maria Moscoso Cordero ◽  
Vinuta Mohan ◽  
Tasneem Zahra

2015 ◽  
Vol 21 ◽  
pp. 6
Author(s):  
Roy Guinto ◽  
Michele Ledoux ◽  
Alicia Williams ◽  
Anthony Mark

2016 ◽  
Vol 22 ◽  
pp. 176-177
Author(s):  
Sudhamshi Toom ◽  
Elizabeth Sedlis Singer

2016 ◽  
Vol 22 ◽  
pp. 278
Author(s):  
Anne Bacal ◽  
Nour Batarseh ◽  
Erin Drever ◽  
Tahira Yasmeen

2006 ◽  
Vol 12 ◽  
pp. 96-97
Author(s):  
Mihaela Cosma ◽  
Daniel L. Hurley

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