The authors report on a 13- year- old boy who, after exercise, had respirat ory distress and left upper quadrant abdom.nal pain. Initially, a m.staken diagn osis of pneum.thorax was m.de, and a chest tube was inserted...
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The authors report on a 13- year- old boy who, after exercise, had respirat ory distress and left upper quadrant abdom.nal pain. Initially, a m.staken diagn osis of pneum.thorax was m.de, and a chest tube was inserted. A nasogastric tube was then visualized on chest x- ray in the left hem.thorax. He underwent a lap arotom. and had herniation of spleen, stom.ch, and large and sm.ll bowel in the left pleural space passing through a traum.tic defect in the hem.diaphragm. The laparoscopic nissen fundoplication 3 years prior was felt to have contributed. A tim.ly and correct diagnosis is essential to avoid the sequelae associated with these injuries and with inappropriate tube thoracostom..
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