{"title":"A Case of Complicated Hiatus Hernia Rupture Causing Tension Hydropneumothorax.","authors":"Sophie Stewart-Watson, Mohamed Abbas","doi":"10.1002/rcr2.70289","DOIUrl":null,"url":null,"abstract":"<p><p>A 95-year-old female presented to the emergency department with chest pain and difficulty breathing. She had a left-sided tension hydropneumothorax secondary to a spontaneous rupture of a hiatus hernia close to the gastro-oesophageal junction. This has not previously been described in the literature and therefore, the purpose of this report is to pique clinicians' interest and highlight this rare phenomenon as a possible differential diagnosis in patients with a hiatus hernia who present with chest pain. It also demonstrates the importance of the use of oral contrast when using computerised tomography to investigate for oesophageal rupture.</p>","PeriodicalId":45846,"journal":{"name":"Respirology Case Reports","volume":"13 7","pages":"e70289"},"PeriodicalIF":0.8000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12289393/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respirology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/rcr2.70289","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"RESPIRATORY SYSTEM","Score":null,"Total":0}
引用次数: 0
Abstract
A 95-year-old female presented to the emergency department with chest pain and difficulty breathing. She had a left-sided tension hydropneumothorax secondary to a spontaneous rupture of a hiatus hernia close to the gastro-oesophageal junction. This has not previously been described in the literature and therefore, the purpose of this report is to pique clinicians' interest and highlight this rare phenomenon as a possible differential diagnosis in patients with a hiatus hernia who present with chest pain. It also demonstrates the importance of the use of oral contrast when using computerised tomography to investigate for oesophageal rupture.
期刊介绍：
Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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