IMAGES IN EMERGENCY MEDICINE
An unusual presentation of diaphragmatic hernia
Karadeniz Technical University Faculty of Medicine, Department of Emergency Medicine, Trabzon, Turkey
Correspondence to:
Dr S Turedi, MD, KTU T
p Fakultesi, Acil Tp Anabilim Dali, 61080 Trabzon, Turkey; suleymanturedi@hotmail.com
Accepted 15 January 2007
| The first 150 words of the full text of this article appear below. |
A 40-year-old man was admitted with sudden onset of dyspnoea. A few minutes after admission he suffered a respiratory arrest and underwent endotracheal intubation. He had a history of recent upper airway infection but no other traumatic events. The chest radiograph showed a circular air density mass in the mediastinum (fig 1A). A CT scan showed the stomach to be within the posterior mediastinum with compression of the left main stem bronchus (fig 1B). Urgent laparotomy was performed and a gastric herniation at the site of the foramen of Bochdalek was found. The stomach was reduced and the defect in the diaphragm was repaired. The postoperative course was uneventful.
Figure 1 (A) Chest radiograph showing a circular air density mass in the mediastinum. (B) CT scan showing the stomach within the posterior mediastinum and compression of the left main stem bronchus.
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Abdominal viscera can herniate through defects in
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