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A pneumothorax? When to look twice and treat once
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  1. Muhammad Fahad Arshad1,2,
  2. Nasir Javed3,
  3. Lucy Peart3,
  4. Nicholas Mallaband3
  1. 1Diabetes and Endocrine Department, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
  2. 2Diabetes and Endocrine Department, Sheffield Teaching Hospitals, Sheffield, UK
  3. 3Acute Medicine Department, Doncaster Royal Infirmary, Doncaster, South Yorkshire, UK
  1. Correspondence to Dr Muhammad Fahad Arshad, dr.fahadarshad{at}live.com

https://doi.org/10.1136/bcr-2017-224049

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    Description

    A large hiatus hernia in the thoracic cavity is rare but can result in respiratory symptoms and signs such as shortness of breath, unilateral reduced breath sounds and even respiratory failure. This condition, also known as gastrothorax,1 can sometimes be very challenging to diagnose due to its resemblance with pneumothorax. Few cases2 3 have been reported when gastrothorax has been mistakenly identified as pneumothorax and attempts have been made for aspiration of air, resulting in stomach perforation.

    We present a case of a 57-year-old man who was referred to the on-call medical team by Accident & Emergency department with shortness of breath of 1-week …

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