Visual Diagnosis in Emergency Medicine| Volume 44, ISSUE 2, e279-e280, February 2013

Traumatic Tension Gastrothorax and Pneumothorax

      Tension gastrothorax is a rare condition usually seen in association with congenital diaphragmatic hernias and, occasionally, in blunt trauma. The diagnosis requires a high level of suspicion due to the significant morbidity and mortality that results from a missed or delayed diagnosis. Likewise, iatrogenic injuries can result if it is misdiagnosed as a pneumothorax. We report a young man who developed both a tension gastrothorax and pneumothorax after blunt trauma.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Horst M.
        • Sacher P.
        • Molz G.
        • Willi U.V.
        • Meuli M.
        Tension gastrothorax.
        J Pediatr Surg. 2005; 40: 1500-1504
        • Zedan M.
        • El-Ghazaly M.
        • Fouda A.
        • El-Bayoumi M.
        Tension gastrothorax: a case report and review of literature.
        J Pediatr Surg. 2008; 43: 740-743
        • Kishore G.S.
        • Gupta V.
        • Doley R.P.
        • et al.
        Traumatic diaphragmatic hernia: tertiary care experience.
        Hernia. 2010; 14: 159-164
        • Tadler S.C.
        • Burton J.H.
        Intrathoracic stomach presenting as acute tension gastrothorax.
        Am J Emerg Med. 1999; 17: 370-371
        • Bamgbade O.A.
        Management of tension gastrothorax.
        Resuscitation. 2006; 70: 293-294
        • Rathinam S.
        • Margabanthu G.
        • Jothivel G.
        • Bavanisanker T.
        Tension gastrothorax causing cardiac arrest in a child.
        Interact Cardiovasc Thorac Surg. 2002; 1: 99-101
        • de Jager C.P.
        • Trof R.J.
        Images in clinical medicine. Gastrothorax simulating acute tension pneumothorax.
        N Engl J Med. 2004; 351: e5
        • Nishijima D.
        • Zehbtachi S.
        • Austin R.B.
        Acute posttraumatic tension gastrothorax mimicking acute tension pneumothorax.
        Am J Emerg Med. 2007; 25 (e5–6): 734
        • Azagury D.E.
        • Karenovics W.
        • Stahli D.M.
        • Mathis J.
        • Schneider R.
        Management of acute gastrothorax with respiratory distress: insertion of nasogastric tube as a life saving procedure.
        Eur J Emerg Med. 2008; 15: 357-358
        • Salim F.
        • Ramesh V.
        Tension gastrothorax: a rare complication.
        J Coll Physicians Surg Pak. 2009; 19: 325-326