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Gastric volvulus and tension gastrothorax secondary to spontaneous transdiaphragmatic intercostal hernia
Simon Bennet1, Michael Wang2, Calista Spiro3
1Surgery, Austin Health, Heidelberg, Victoria, Australia simonjxbennet@gmail.com.
Abstract:
Spontaneous transdiaphragmatic intercostal hernia is an extremely rare clinical entity featuring dual defects in the diaphragm and chest wall. We report on the case of a 59-year-old man who developed a large left-sided hernia secondary to the minor trauma of a coughing fit. The hernia subsequently enlarged over the course of 3 years until it contained the stomach, leading to a gastric volvulus and tension gastrothorax with secondary pneumothorax. A subtotal gastrectomy was performed with Roux-en-Y reconstruction, and he made a full recovery.
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