Case of the Month: Case 2
Citation:
S. Koch, J.L. Nates: Case of the Month: Case 2. The Internet Journal of Emergency and Intensive Care Medicine. 1999 Volume 3 Number 1
Keywords:
case of the month, emergency medicine, critical care, intensive care medicine, medicine, education, patient care, ventilation, cardiac, neuro, pediatric, cardio-pulmonary support, ards, respiratory failure, multiorgan failure, hemodynamics, intensivecare unit, surgical i
Abstract
History
A 55 y.o. latino-american male was admitted to the hospital with previous medical history of cysticercosis diagnosed in his country of residence in south-america. He had an intracranial mass, and he consulted for a second opinion. A chest X-ray showed this:
What is your diagnosis?
Answer
No, it is not a pulmonary cyst. This is a hiatal hernia with stomach and bowel in the chest. There is a nasogastric tube going into the stomach (looking similar to a pulmonary artery catheter inserted too far into the right pulmonary artery).
