Link: https://www.ncbi.nlm.nih.gov/pubmed/30214712

J Surg Case Rep. 2018 Sep 11;2018(9):rjy238. doi: 10.1093/jscr/rjy238. eCollection 2018 Sep.
The rare and unusual presentation of a gastric perforation in the setting of a large diaphragmatic hernia: a case report and literature review.
Lim D1, Kostin R2.
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Abstract
Diaphragmatic hernias are either congenital or acquired defects in the diaphragm that permit passing of abdominal contents into the chest cavity. Individuals with large diaphragmatic hernias associated with a gastric perforation have rarely been reported in literature and can have serious mortality rates. Herein, we present a case of gastric perforation in the setting of a significant sized diaphragmatic hernia. The value of the current report compared to previously published cases is the sub-acute nature and lack of any indicative features on initial presentation which can lead to misdiagnosis and serious morbidity later in life.

PMID: 30214712 PMCID: PMC6131516 DOI: 10.1093/jscr/rjy238
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