Delayed presentation of gastrothorax
masquerading as pneumothorax.
Chest radiograph showed a massive gastrothorax on the left side with mediastinal shift to the right side and complete collapse of the left lung (Fig.
The NGT was also very useful in decompressing the distended gastrothorax and is in fact the recommended intervention to relieve the respiratory distress.
In another case, the ICD was inserted below the left diaphragm, the acute gastrothorax
following blunt chest trauma having being misdiagnosed as a tension pneumothorax (Table III) (Figs 2 and 3).
But, in our clinical scenario, due to misdiagnosis in the private hospital, our patient ended up with tension gastrothorax with significant mediastinal shift.
Intrathoracic stomach presenting as acute tension gastrothorax.