{"title":"Tension Doesn't Always Come Alone-- A Case of Tension Pneumothorax With Traumatic Diaphragmatic Hernia Immediately After Blunt Trauma to the Chest.","authors":"Samata Chororia, Nishit Kumar Sahoo, Sadananda Barik, Upendra Hansda, Satyabrata Guru","doi":"10.6705/j.jacme.202509_15(3).0006","DOIUrl":null,"url":null,"abstract":"<p><p>Tension pneumothorax (TP) and diaphragmatic hernia (DH) might present with similar symptoms, increasing the probability of missing an underlying diaphragmatic hernia in cases of coexistence. There are a few case reports of DH with tension viscerothorax or fecopneumothorax, but all those had a delayed presentation. However, there is no case report on TP and DH presenting together immediately after trauma. We present a case of coexistence of TP and DH immediately after blunt chest trauma, where ultrasound helped in the identification and management of this life-threatening condition.</p>","PeriodicalId":14846,"journal":{"name":"Journal of acute medicine","volume":"15 3","pages":"117-119"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411113/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of acute medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6705/j.jacme.202509_15(3).0006","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Tension pneumothorax (TP) and diaphragmatic hernia (DH) might present with similar symptoms, increasing the probability of missing an underlying diaphragmatic hernia in cases of coexistence. There are a few case reports of DH with tension viscerothorax or fecopneumothorax, but all those had a delayed presentation. However, there is no case report on TP and DH presenting together immediately after trauma. We present a case of coexistence of TP and DH immediately after blunt chest trauma, where ultrasound helped in the identification and management of this life-threatening condition.