Acute gastric dilatation causing respiratory failure and 'tension pneumothorax' in an elderly woman with a diaphragmatic hernia

N. Berkman, Z. Simon, Y. Almog, M. R. Kramer*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

The occurrence of respiratory failure as a result of a large diaphragmatic hernia is a well-described entity in infants with congenital hernias. On reviewing the literature, the authors did not find a smiliar clinical presentation in the adult population. They report the case of an elderly patient with a large hiatus hernia who developed recurrent episodes of life- threatening respiratory failure and hemodynamic compromise due to recurrent gastric dilatation. Decompression with nasogastric suction resulted in dramatic and immediate relief of the respiratory distress. One should keep in mind the possibility of intrathoracic gastric dilatation as a cause of acute respiratory insufficiency in patients with hiatal hernia.

Original languageAmerican English
Pages (from-to)317-318
Number of pages2
JournalChest
Volume104
Issue number1
DOIs
StatePublished - 1993
Externally publishedYes

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