An unusual diaphragmatic hernia with gastric perforation and sub-acute presentation
- Resource Type
- Authors
- M Little; Z Vinnicombe; Andrew Wan
- Source
- The Annals of The Royal College of Surgeons of England. 98:e181-e383
- Subject
- Male
Chest Pain
medicine.medical_specialty
Parietal Pleura
Perforation (oil well)
Stomach Diseases
Spontaneous Perforation
030204 cardiovascular system & hematology
Chest pain
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
Diaphragmatic hernia
Aged
Hernia, Diaphragmatic
business.industry
Thoracic cavity
Stomach
General Medicine
medicine.disease
Surgery
medicine.anatomical_structure
Online Case Report
030228 respiratory system
medicine.symptom
Tomography, X-Ray Computed
business
Stomach disease
- Language
- ISSN
- 1478-7083
0035-8843
Gastric perforation into the thoracic cavity through a diaphragmatic hernia is rare but, when it occurs, patients present in severe distress, with mortality approaching 50%. We present a unique case in which a fibrotic reaction between the stomach and the parietal pleura led to a subacute presentation upon perforation. The extra time that this afforded led to more effective multidisciplinary team management and ultimately an excellent outcome for the patient.