Department of Surgery, University of Calabar, Calabar, Cross River, Nigeria
Department of Surgery, University of Calabar Teaching Hospital, Calabar, Cross River, Nigeria.
BMJ Case Rep. 2021 Nov 30;14(11):e246101. doi: 10.1136/bcr-2021-246101.
Tension gastrothorax is a form of obstructive shock resulting from increased intrathoracic pressure due to a distended herniated stomach. The clinical features of tension gastrothorax are similar to the clinical features of the more common tension pneumothorax. Clinical recognition of this trauma has remained difficult especially in the tropics where most responders are not specialists. We managed a 31-year-old male who, in addition to typical features of obstructive shock secondary to increased intrathoracic pressures, had a recent meal prior to the trauma and a scaphoid abdomen at presentation. We argue that a history of a recent meal before trauma and an unusually scaphoid abdomen could be suggestive of tension gastrothorax and may help to differentiate it from tension pneumothorax. We recommend improved emergency preparedness to help recognise and treat this pathology.
张力性胃胸是一种阻塞性休克的形式，由于疝出的胃部膨胀导致胸腔内压力增加而引起。张力性胃胸的临床特征与更为常见的张力性气胸的临床特征相似。这种创伤的临床识别一直很困难，特别是在热带地区，大多数急救人员都不是专家。我们治疗了一名 31 岁男性，他除了具有因胸腔内压力增加导致的阻塞性休克的典型特征外，在创伤前有最近的一餐，并且在出现时腹部呈舟状。我们认为，创伤前最近一餐的病史和异常舟状腹部可能提示张力性胃胸，并有助于将其与张力性气胸区分开来。我们建议加强应急准备，以帮助识别和治疗这种病理。
