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  • The Internet Journal of Emergency and Intensive Care Medicine
  • Volume 3
  • Number 1

Original Article

Case of the Month: Case 2

S Koch, J Nates

Keywords

ards, cardiac, cardio-pulmonary support, case of the month, critical care, education, emergency medicine, hemodynamics, intensive care medicine, intensivecare unit, medicine, multiorgan failure, neuro, patient care, pediatric, respiratory failure, surgical i, ventilation

Citation

S Koch, J Nates. Case of the Month: Case 2. The Internet Journal of Emergency and Intensive Care Medicine. 1998 Volume 3 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:

{image: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).

{image:2}

{image:3}

References

Author Information

Stephen Koch, M.D.*
Associate Professor, Department of Anesthesiology*, Memorial-Hermann Hospital

Joseph L Nates, M.D.
Assistant Professor, Department of Neurosurgery , University of Texas Medical School

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