Offman Ryan P, Spencer Ryan M
Mercy Health Partners, Muskegon, Michigan.
Michigan State University College of Osteopathic Medicine, East Lansing, Michigan.
West J Emerg Med. 2014 Mar;15(2):142-4. doi: 10.5811/westjem.2013.10.19034.
We present an interesting case of a patient with a previously known diaphragmatic hernia in which the colon became incarcerated, ischemic and finally perforated. She had no prior history of abdominal pain or vomiting, yet she presented with cardiovascular collapse. She was quickly diagnosed with a tension pneumothorax and treated accordingly. To our knowledge, this is the only case report of a tension pneumothorax associated with perforated bowel that was not in the setting of trauma or colonoscopy.
我们报告了一例有趣的病例，患者既往已知患有膈疝，其中结肠发生嵌顿、缺血，最终穿孔。她既往无腹痛或呕吐病史，但却出现了心血管功能衰竭。她很快被诊断为张力性气胸并接受了相应治疗。据我们所知，这是唯一一例与肠穿孔相关的张力性气胸病例报告，且并非发生在创伤或结肠镜检查的情况下。
