Open AccessSpontaneous diaphragmatic hernia with bowel perforation complicated by tension hydropneumothorax
Author(s) -
Andrea Mardighian,
Giulia Roberta Ercolino,
D. Palladino,
Giuseppe Guglielmi
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150465
Subject(s) - hydropneumothorax , medicine , mediastinal shift , pneumothorax , chest radiograph , surgery , chest pain , diaphragmatic hernia , diaphragmatic breathing , radiology , pleural effusion , bochdalek hernia , perforation , chest tube , lung , hernia , radiography , congenital diaphragmatic hernia , pathology , materials science , pregnancy , fetus , alternative medicine , punching , biology , metallurgy , genetics
In this case report, we describe a rare case of spontaneous diaphragmatic hernia with perforation of the incarcerated ascending colon and subsequent formation of tension pneumothorax. A 73-year-old male with a past medical history of chronic right pleural effusion, restrictive ventilatory impairment and hypertension presented to us for evaluation of severe right chest pain of few days’ duration and severe dyspnoea. The chest radiograph revealed the presence of a loop of bowel in the basal right hemithorax with associated air/fluid levels. A CT scan of the chest confirmed the hydropneumothorax and revealed a right lower lobe ipo-expansion and a flogistic lung consolidation. After surgery, the patient underwent a contrast-enhanced CT scan of the chest, which showed no abnormal findings.