© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine
CASE REPORT
Stabbing chest pain: a case of intermittent diaphragmatic herniation
Emergency Department, Hastings Conquest Hospital, East Sussex, UK
Correspondence to:
Correspondence to:
Mr P Ransom
Specialist Register, Accident and Emergency, 24 Friars Walk, Lewes BN7 2LF, UK; pransom{at}mistral.co.uk
A case of traumatic diaphragmatic herniation is described in which gross mediastinal shift was caused by a combination of the herniated abdominal organs, purulent exudate, and air. This complex presentation might best be described as a case of gastrocolopyopneumothorax, diagnosis of which was further complicated by the intermittent nature of the herniation.
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