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Below is a cache of http://saudiannals.net/pdfs/07-120.pdf. It's a snapshot of the page taken as our search engine crawled the Web.
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. case report case report Ann Saudi Med 28(3) May-June 2008 www.saudiannals.net 207 T he diaphragm separates the thorax from the
abdominal cavity, and trauma to either regg
gion may cause hernia of the diaphragm. The sequelae of the diaphragmatic injury may manifest as
an acute or chronic presentation. The acute manifestagg
tion may be bleeding and herniation of viscera into the
thoracic cavity causing hemodynamic compromise. 1 We present a case of an acute tension viscerothorax that ocgg
curred immediately after blunt trauma leading to cargg
diac and pulmonary compromise. Case A 31gyear old man was admitted to the Emergency
Department of Yuzuncu Yil University Hospital. He
was the victim of a traffic accident and sustained injuries
to the right lower limb. On admission, the patient had
severe respiratory distress (respiratory rate, 43/min),
hypotension (85/59 mm Hg), and tachycardia (heart
rate, 142 beats per minute). He was cyanotic, and ausgg
cultation revealed decreased breath sounds in the left
hemithorax. Heart sounds were heard to the right of
the sternum. The peripheral pulses were all present and
the neurological examination was normal. Initially, the clinical presentation and chest radiogg graph were misinterpreted as tension pneumothorax
in the emergency room. A chest tube was inserted, regg
sulting in no improvement of cardiopulmonary funcgg
tion. The patient was transferred to our department for
further evaluation and management. A repeated chest
radiograph revealed a large mass in the left hemithorax
displacing the heart and mediastinum to the right side
(Figure 1). A CT scan confirmed the tension viscerogg
thorax. Repeated attempts to insert a nasogastric tube
were unsuccessful. The hematology and emergency rougg
tine biochemistry results were within normal limits. He was taken to the operating room immediately. A left thoracotomy was performed through the sevgg
enth intercostal space. At exploration, the stomach and
omentum were found in the left thoracic cavity herniatgg
ed through a diaphragmatic rupture, compressing both Tension viscerothorax due to traumatic
diaphragmatic rupture Hasan Ekim, a Mustafa Tuncer, b Bulent
The web site itself may have changed. You can check the current page or check for previous versions at the Internet Archive. Yahoo! is not affiliated with the authors of this page or responsible for its content. case report case report Ann Saudi Med 28(3) May-June 2008 www.saudiannals.net 207 T he diaphragm separates the thorax from the
abdominal cavity, and trauma to either regg
gion may cause hernia of the diaphragm. The sequelae of the diaphragmatic injury may manifest as
an acute or chronic presentation. The acute manifestagg
tion may be bleeding and herniation of viscera into the
thoracic cavity causing hemodynamic compromise. 1 We present a case of an acute tension viscerothorax that ocgg
curred immediately after blunt trauma leading to cargg
diac and pulmonary compromise. Case A 31gyear old man was admitted to the Emergency
Department of Yuzuncu Yil University Hospital. He
was the victim of a traffic accident and sustained injuries
to the right lower limb. On admission, the patient had
severe respiratory distress (respiratory rate, 43/min),
hypotension (85/59 mm Hg), and tachycardia (heart
rate, 142 beats per minute). He was cyanotic, and ausgg
cultation revealed decreased breath sounds in the left
hemithorax. Heart sounds were heard to the right of
the sternum. The peripheral pulses were all present and
the neurological examination was normal. Initially, the clinical presentation and chest radiogg graph were misinterpreted as tension pneumothorax
in the emergency room. A chest tube was inserted, regg
sulting in no improvement of cardiopulmonary funcgg
tion. The patient was transferred to our department for
further evaluation and management. A repeated chest
radiograph revealed a large mass in the left hemithorax
displacing the heart and mediastinum to the right side
(Figure 1). A CT scan confirmed the tension viscerogg
thorax. Repeated attempts to insert a nasogastric tube
were unsuccessful. The hematology and emergency rougg
tine biochemistry results were within normal limits. He was taken to the operating room immediately. A left thoracotomy was performed through the sevgg
enth intercostal space. At exploration, the stomach and
omentum were found in the left thoracic cavity herniatgg
ed through a diaphragmatic rupture, compressing both Tension viscerothorax due to traumatic
diaphragmatic rupture Hasan Ekim, a Mustafa Tuncer, b Bulent
