A survival case of tension gastrothorax due to hiatal hernia, the key of life-saving is thoracotomy

Hiatal hernia as a rare cause of cardiac complications – case based review of the literature

“…of some surgical procedures [10,11]. Sporadically, tension gastrothorax may be a manifestation of hiatal hernia -as in case of the presented patient [8,10].…”

“…of some surgical procedures [10,11]. Sporadically, tension gastrothorax may be a manifestation of hiatal hernia -as in case of the presented patient [8,10]. Tension gastrothorax may be difficult to diagnose because its clinical manifestations, including dyspnea, tachycardia and hypotension, may mimic pneumothorax [9,10].…”

Cardiopulmonary arrest secondary to compression of the heart owing to esophageal hiatal hernia: a case report

“…Interestingly, all reports of tension gastrothorax describe patients in shock or cardiopulmonary arrest who were diagnosed by CT imaging and attempted to decompress with a gastric tube. [8][9][10] Shoji et al 10 authored the eight previously reported cases, and only two cases involved hiatal hernia without trauma. In all of these reports, insertion of a gastric tube was attempted; however, in some cases, the insertion was unsuccessful and return of spontaneous circulation was achieved with volume resuscitation and cardiopulmonary resuscitation.…”

“…Heart failure owing to the esophageal hiatal hernia displacing the heart 6,7 and tension gastrothorax in patients with obstructive shock due to a significant displacement of the heart by an expanded stomach have also been reported. Interestingly, all reports of tension gastrothorax describe patients in shock or cardiopulmonary arrest who were diagnosed by CT imaging and attempted to decompress with a gastric tube 8–10 . Shoji et al 10 .…”

“…Interestingly, all reports of tension gastrothorax describe patients in shock or cardiopulmonary arrest who were diagnosed by CT imaging and attempted to decompress with a gastric tube 8–10 . Shoji et al 10 . authored the eight previously reported cases, and only two cases involved hiatal hernia without trauma.…”