A case of tension pneumothorax mimicking spontaneous rupture of the diaphragm

Abstract

A 40 year old asthmatic presented with acute respiratory distress. Chest radiograph appeared to show loops of bowel within the thorax and a diagnosis of spontaneous/effort rupture of the diaphragm was made. Emergency laparotomy revealed an intact diaphragm and chest drain was inserted relieving a tension pneumothorax. 
DOI: 10.1093/jscr/2011.4.4

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