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Stabbing chest pain: a case of intermittent diaphragmatic herniation
  1. P Ransom,
  2. P Cornelius
  1. Emergency Department, Hastings Conquest Hospital, East Sussex, UK
  1. Correspondence to:
 Mr P Ransom
 Specialist Register, Accident and Emergency, 24 Friars Walk, Lewes BN7 2LF, 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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  • Competing interests: none declared