Journal of Emergencies, Trauma, and Shock

CASE REPORT
Year
: 2011  |  Volume : 4  |  Issue : 1  |  Page : 128--129

Gastrothorax or tension pneumothorax: A diagnostic dilemma


Sarvesh P Singh, Subin Sukesan, Usha Kiran, Neeti Makhija 
 Department of Cardiac Anaesthesia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi 110029, India

Correspondence Address:
Sarvesh P Singh
Department of Cardiac Anaesthesia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi 110029
India

Gastrothorax, a rare complication following thoracoabdominal aortic aneurysm repair, is reported. The clinical features of a gastrothorax and tension pneumothorax are similar and thus, a gastrothorax can masquerade as a tension pneumothorax. The diagnosis is made by a high level of clinical suspicion, chest X-ray shows a distended stomach with air fluid levels and a computerised tomography is useful in assessing the diaphragm and establishing the positions of the various intra-abdominal organs. Also, the risk of an intercostal drainage tube placement and the role of nasogastric tube in avoiding the development of a tension gastrothorax is highlighted.


How to cite this article:
Singh SP, Sukesan S, Kiran U, Makhija N. Gastrothorax or tension pneumothorax: A diagnostic dilemma.J Emerg Trauma Shock 2011;4:128-129


How to cite this URL:
Singh SP, Sukesan S, Kiran U, Makhija N. Gastrothorax or tension pneumothorax: A diagnostic dilemma. J Emerg Trauma Shock [serial online] 2011 [cited 2021 Sep 19 ];4:128-129
Available from: https://www.onlinejets.org/article.asp?issn=0974-2700;year=2011;volume=4;issue=1;spage=128;epage=129;aulast=Singh;type=0