Case of the Month
Case 2
Joseph L. Nates, MD*
Assistant Professor
Departments of Neurosurgery and Anesthesia-Critical Care Medicine*
The University of Texas-Houston
Health Science Center Medical School

Nates JL: Case of the Month, Case 2. The Internet Journal of Emergency and Intensive Care Medicine 2000; Volume 4 Number1: http://www.ispub.com/journals/IJEICM/Vol4N1/case2.htm . Published January 1, 2000; Last Updated January 1, 2000. (Please add "Date Accessed").

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:

1. What is your diagnosis?

click here for 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).

back to question

The Internet Journal of Rescue and Disaster Medicine

The Internet Journal of Anesthesiology

The Internet Journal of Emergency and Intensive Care Medicine

The Internet Journal of Thoracic and Cardiovascular Surgery

The Internet Journal of Academic Physician Assistants

The Internet Journal of Advanced Nursing Practice