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Tension gastrothorax: a rare cause of breathlessness
  1. James William Gagg,
  2. Andrew Savva
  1. Emergency Department, Musgrove Park Hospital, Taunton, UK
  1. Correspondence to Dr James William Gagg, Emergency Department, Musgrove Park Hospital, Taunton and Somerset NHS Foundation Trust, Taunton TA1 5DA, UK; james.gagg{at}

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A 67-year-old lady presented to the emergency department with a 4 day history of breathlessness for which she had started clarithromycin. She had a history of a hiatal hernia repair in 1996 and had recently started inhalers for presumed chronic obstructive pulmonary disease (COPD). Her pulse was 101 bpm, blood pressure 174/120 mm Hg, respiratory rate …

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  • Contributors Both myself and the co-author were actively involved in this patient's management and the subsequent writing of this article.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.