Gastric volvulus and tension gastrothorax secondary to spontaneous transdiaphragmatic intercostal hernia. Issue 1 (17th January 2022)

• Record Type: Journal Article
• Authors: Bennet, Simon; Wang, Michael; Spiro, Calista; Tog, Chek
• Is Part Of: BMJ case reports. Volume 15:Issue 1(2022)
• Publication Date: 2022-01-17
• Subjects: gastrointestinal surgery -- general surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-246832
• Languages: English
• ISSNs: 1757-790X

Abstract

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.