{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:52:08Z","timestamp":1760028728370},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["clinicalimagingscience.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>Gastrothorax is characterized by herniation of the stomach and other abdominal contents into the thoracic cavity either through the oesophageal hiatus or ruptured diaphragm. When gastrothorax causes pulmonary and hemodynamic compromise, due to compression of lungs and mediastinal structures, it is named as tension gastrothorax. Diagnosis of tension gastrothorax is often complicated during late pregnancy, because of unusual presentation, altered physiology, absence of trauma, hesitation about radiation exposure, and rarity of the condition. We report a case of a patient, in her 32nd week of pregnancy, who presented with left tension gastrothorax. Lower segment caesarean section was planned after steroid therapy, with all the preparations for thoracotomy. Intra-operatively, stomach, spleen, and colon were found herniated in the left hemithorax, through a ruptured left hemidiaphragm. Thoracotomy was done immediately after caesarean section, with reduction of herniated contents and repair of the defect in the diaphragm. The patient and her baby were discharged in stable condition 2 weeks after thoracotomy.<\/jats:p>","DOI":"10.4103\/2156-7514.100367","type":"journal-article","created":{"date-parts":[[2012,8,30]],"date-time":"2012-08-30T08:50:11Z","timestamp":1346316611000},"page":"49","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Tension Gastrothorax Complicating Third Trimester of Pregnancy: Suspicion is the Key"],"prefix":"10.25259","volume":"2","author":[{"given":"Rakesh","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Rosha","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sananta K.","family":"Dash","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trilok","family":"Chand","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2012,8,30]]},"reference":[{"key":"10.4103\/2156-7514.100367\/ref-1","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1097\/00063110-200312000-00022","article-title":"Acute post-traumatic tension gastrothorax, a tension pneumothorax-like injury","volume":"10","author":"Mortelmans","year":"2003","journal-title":"Eur J Emerg Med"},{"key":"10.4103\/2156-7514.100367\/ref-2","first-page":"53","article-title":"Measurement of intraabdominal pressure in pregnant women at term","volume":"56","author":"Al-Khan","year":"2011","journal-title":"J Reprod Med"},{"key":"10.4103\/2156-7514.100367\/ref-3","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1016\/0002-9610(66)90151-6","article-title":"Pregnancy complicated by traumatic rupture of the diaphragm","volume":"112","author":"Bernhardt","year":"1966","journal-title":"Am J Surg"},{"key":"10.4103\/2156-7514.100367\/ref-4","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1136\/emj.2006.040451","article-title":"Traumatic diaphragmatic rupture: A diagnostic challenge in the emergency department","volume":"24","author":"Lee","year":"2007","journal-title":"Emerg Med J"},{"key":"10.4103\/2156-7514.100367\/ref-5","first-page":"334","article-title":"Blunt trauma of the diaphragm: A 15-county private hospital experience","volume":"58","author":"Ilgefritz","year":"1992","journal-title":"Am Surg"},{"key":"10.4103\/2156-7514.100367\/ref-6","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1056\/NEJMicm030515","article-title":"Images in clinical medicine. Gastrothorax simulating acute tension pneumothorax","volume":"351","author":"de Jager","year":"2004","journal-title":"N Engl J Med"},{"key":"10.4103\/2156-7514.100367\/ref-7","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1136\/thx.43.6.484","article-title":"An unusual cause of massive pleural effusion in pregnancy","volume":"43","author":"Wolfe","year":"1988","journal-title":"Thorax"},{"key":"10.4103\/2156-7514.100367\/ref-8","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1067\/mob.2000.108845","article-title":"Effectiveness of antenatal corticosteroid administration after preterm premature rupture of the membranes","volume":"183","author":"Vermillion","year":"2000","journal-title":"Am J Obstet Gynecol"},{"key":"10.4103\/2156-7514.100367\/ref-9","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1503\/cmaj.081094","article-title":"Tension gastrothorax: A life-threatening cause of acute abdominal pain","volume":"180","author":"Kao","year":"2009","journal-title":"CMAJ"},{"key":"10.4103\/2156-7514.100367\/ref-10","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1213\/00000539-199803000-00009","article-title":"Management of diaphragmatic hernia during pregnancy","volume":"86","author":"Fleyfel","year":"1998","journal-title":"Anesth Analg"}],"container-title":["Journal of Clinical Imaging Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/clinicalimagingscience.org\/tension-gastrothorax-complicating-third-trimester-of-pregnancy-suspicion-is-the-key\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/clinicalimagingscience.org\/tension-gastrothorax-complicating-third-trimester-of-pregnancy-suspicion-is-the-key\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,30]],"date-time":"2019-08-30T04:58:00Z","timestamp":1567141080000},"score":1,"resource":{"primary":{"URL":"https:\/\/clinicalimagingscience.org\/tension-gastrothorax-complicating-third-trimester-of-pregnancy-suspicion-is-the-key\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,30]]},"references-count":10,"alternative-id":["10.4103\/2156-7514.100367"],"URL":"https:\/\/doi.org\/10.4103\/2156-7514.100367","relation":{},"ISSN":["2156-7514"],"issn-type":[{"value":"2156-7514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8,30]]},"article-number":"49"}}