Ulus Travma Acil Cerrahi Derg. 2015; 21(4): 306-308 | DOI: 10.5505/tjtes.2015.71245

Genç bir kadýnda, non-travmatik tansiyon gastrotoraks

Mahmut Tokur¹, Þ. Mustafa Demiröz¹, Muhammet Sayan^2
1Kahramanmaraþ Sütçü Ýmama Üniversitesi Týp Fakültesi Göðüs Cerrahisi Ad, Kahramanmaraþ
²Aksaray Devlet Hastanesi, Göðüs Cerrahisi Kliniði, Aksaray

Bir diyafragmatik defektten toraksa herniye olarak masif distansiyona uðrayan mide dokusunun neden olduðu tansiyon gastrotoraks oldukça nadir, ancak ölümcül olabilen bir klinik durumdur. Akciðer ve mediasten basýsýna baðlý ciddi semptomlara neden olur. Nefes darlýðý þikayeti ile acil servise baþvuran ve travma öyküsü olmayan 27 yaþýnda kadýn hasta, ilk deðerlendirme sonrasý göðüs cerrahisi kliniðine konsülte edildi. Toraks bilgisayarlý tomografide sol hemitoraksda gastrotoraks tespit edildi. Hastanýn arrest olmasý nedeniyle resüsitasyona baþlandý ve acil sol torakotomi yapýlarak abdominal organlar redükte edildi ve diyafragmatik defekt primer onarýldý. Hasta operasyon sonrasý beþinci gün sorunsuz þekilde taburcu edildi.

Anahtar Kelimeler: Diyafragma ruptürü, acil torakotomi; tansiyon gastrotoraks.

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Non-traumatic tension gastrothorax in a young lady

Mahmut Tokur¹, Þ. Mustafa Demiröz¹, Muhammet Sayan^2
1Department Of Thoracic Surgery, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
²Department Of Thoracic Surgery, Aksaray State Hospital, Aksaray, Turkey

Tension gastrothorax is a very rare but potentially fatal clinical condition in which the stomach that herniates through a diaphragmatic defect into the thorax is massively distended by trapped air. It leads to severe symptoms due to the compression of the lung and mediastinum. A 27-year-old female, who had no prior trauma history, applied to the emergency service with the complaint of respiratory disorder, and was consulted by the department of thoracic surgery. Thorax CT revealed presence of gastrothorax in the left hemithorax. Thus, the patient went into cardiopulmonary arrest and was resuscitated. Emergency thoracotomy was performed, abdominal organs were reduced and diaphragmatic defect was repaired. She was discharged on the fifth postoperative day without any complications.

Keywords: Diaphragmatic rupture, emergency thoracotomy; tension gastrothorax.

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