{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:48Z","timestamp":1753877208203,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A total intra-thoracic stomach describes the case of a complete herniation of the stomach into the thoracic cavity. Symptoms may vary from mild to an acute life-threatening situation in case of perforation or bleeding, requiring emergency surgery. Here we describe the case of a gastric perforation leading to a tension pneumothorax and concomitant pleural empyema due to a giant hiatal recurrence after previous surgery. Multidisciplinary management involving thoracic surgeons helped in achieving the best clinical outcome for the patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjac496","type":"journal-article","created":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T15:42:46Z","timestamp":1668613366000},"source":"Crossref","is-referenced-by-count":1,"title":["An unusual case of a tension pneumothorax"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0754-0603","authenticated-orcid":false,"given":"Bassam","family":"Redwan","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Klinik am Park, Klinikum Westfalen , L\u00fcnen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Kirstein","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Klinik am Park, Klinikum Westfalen , L\u00fcnen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volkan","family":"K\u00f6sek","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Klinik am Park, Klinikum Westfalen , L\u00fcnen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Burkhard","family":"Thiel","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Klinik am Park, Klinikum Westfalen , L\u00fcnen , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hubert","family":"Zirngibl","sequence":"additional","affiliation":[{"name":"Depertment of Surgery , Helios University Hospital Wuppertal, , Wuppertal , Germany"},{"name":"University of Witten\/Herdecke , Helios University Hospital Wuppertal, , Wuppertal , Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rn","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Klinik am Park, Klinikum 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