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Related Experiment Video

Updated: May 9, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Tension gastrothorax in children: introducing a management algorithm.

Jessica Ng¹, Dean Rex, Nada Sudhakaran

¹Core Surgical Trainee, London Deanery, London, UK.

Journal of Pediatric Surgery

|July 31, 2013

Summary

Tension gastrothorax, a critical condition where the stomach enters the chest, is often misdiagnosed. Early recognition and a proposed management algorithm are vital for improving outcomes in children.

Keywords:

Congenital diaphragmatic hernia Emergency management Iatrogenic diaphragmatic hernia Respiratory distress Tension gastrothorax Traumatic diaphragmatic hernia

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Last Updated: May 9, 2026

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

Area of Science:

Pediatric Surgery
Thoracic Medicine
Medical Diagnostics

Background:

Tension gastrothorax is a rare but life-threatening condition in children.
It occurs when the stomach herniates into the thorax through a diaphragmatic defect, leading to distension and mediastinal shift.
Misdiagnosis as tension pneumothorax is common, increasing morbidity and mortality.

Observation:

This article presents three pediatric cases of tension gastrothorax with varied etiologies.
A comprehensive literature review on pediatric tension gastrothorax is included.
The cases highlight the dramatic presentation and diagnostic challenges.

Findings:

Tension gastrothorax requires prompt recognition to prevent severe complications.
Diagnostic confusion with tension pneumothorax can delay appropriate treatment.
The spectrum of etiologies in children necessitates a broad differential diagnosis.

Implications:

Early and accurate diagnosis of tension gastrothorax is crucial for pediatric surgical emergencies.
A proposed management algorithm can guide clinical decision-making.
Improved understanding and diagnostic strategies can reduce mortality and morbidity in affected children.