Case of the Month: Case 2
J Nates
Keywords
ards, cardiac, cardio-pulmonary support, critical care, education, emergency medicine, hemodynamics, intensive care medicine, intensivecare unit, medicine, multiorgan failure, neuro, patient care, pediatric, respiratory failure, surgical i, ventilation
Citation
J Nates. Case of the Month: Case 2. The Internet Journal of Emergency and Intensive Care Medicine. 1999 Volume 4 Number 1.
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:
Figure 1
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).
Figure 2
Figure 3
