Austin Health

Title
Gastric volvulus and tension gastrothorax secondary to spontaneous transdiaphragmatic intercostal hernia.
Publication Date
2022-01-17
Author(s)
Bennet, Simon
Wang, Michael T
Spiro, Calista
Tog, Chek
Subject
gastrointestinal surgery
general surgery
Type of document
Journal Article
OrcId
0000-0002-1286-3132
0000-0002-3469-7390
DOI
10.1136/bcr-2021-246832
Abstract
Spontaneous transdiaphragmatic intercostal hernia is an extremely rare clinical entity featuring dual defects in the diaphragm and chest wall. We report on the case of a 59-year-old man who developed a large left-sided hernia secondary to the minor trauma of a coughing fit. The hernia subsequently enlarged over the course of 3 years until it contained the stomach, leading to a gastric volvulus and tension gastrothorax with secondary pneumothorax. A subtotal gastrectomy was performed with Roux-en-Y reconstruction, and he made a full recovery.
Link
Citation
BMJ case reports 2022-01-17; 15(1): e246832
Jornal Title
BMJ case reports

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