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Intrathoracic Caecal Perforation Presenting as Dyspnea
Joint Authors
Coche, Emmanuel
Thoma, Maximilien
Granier, Vincent
Hantson, Philippe
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-01-20
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Bochdalek hernia is a congenital defect of the diaphragm that is usually diagnosed in the neonatal period and incidentally in asymptomatic adults.
Small bowel incarceration in a right-sided Bochdalek hernia is exceptional for an adult.
Case Presentation.
A 54-year-old woman was admitted for acute dyspnea, tachycardia, hypotension, and fever.
Five days before, she had been experiencing an episode of diffuse abdominal pain.
The admission chest X-ray was interpreted as right pleural effusion and pneumothorax with left mediastinal shift.
Chest tube drainage was purulent.
The thoracoabdominal CT examination suspected an intestinal incarceration through a right diaphragmatic defect.
At laparotomy, a right-sided Bochdalek hernia was confirmed with a complete necrosis of the incarcerated caecum.
Ileocaecal resection was performed, but the patient died from delayed septic complications.
Conclusion.
Intrathoracic perforation of the caecum is a rare occurrence; delayed diagnosis due to misleading initial symptoms may lead to severe complications and poor prognosis.
American Psychological Association (APA)
Granier, Vincent& Coche, Emmanuel& Hantson, Philippe& Thoma, Maximilien. 2011. Intrathoracic Caecal Perforation Presenting as Dyspnea. Case Reports in Medicine،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-461344
Modern Language Association (MLA)
Granier, Vincent…[et al.]. Intrathoracic Caecal Perforation Presenting as Dyspnea. Case Reports in Medicine No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-461344
American Medical Association (AMA)
Granier, Vincent& Coche, Emmanuel& Hantson, Philippe& Thoma, Maximilien. Intrathoracic Caecal Perforation Presenting as Dyspnea. Case Reports in Medicine. 2011. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-461344
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-461344