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Sat, 8 Mar 2003 03:59:25 -0800 (PST)

The only thing I don't understand is why not an NG on the
way to the OR? Or did you try and find it unpassable?
I have seen one similar case, albiet due to a remote injury
rather than acute, and decompressed it without difficulty
It, of course, had not vovulated.
Those who have done animal surgery are of course aware of
the technique of decompressing the rumen, the goat
equivilent I suppose

R Wigle 
--- Karim Brohi <karim@trauma.org> wrote:
> We didn't either - but it has been reported once in the
> literature.
> Institution of positive pressure ventilation in this case
> did the trick
> emergently (and subsequently operative repair)
> 
> Karim
>   -----Original Message-----
>   From: trauma-list-admin@trauma.org
> [mailto:trauma-list-admin@trauma.org]On
> Behalf Of SJASMD@aol.com
>   Sent: 08 March 2003 06:20
>   To: trauma-list@trauma.org
>   Subject: Re: Needle decompression of stomach: tension
> gastrothorax
> 
> 
>   Thanks Karim
>   After viewing the images and understanding the acute
> etiology of
> diaphragmatic herniation, I would not consider this
> needle decompression.
> Why not explore and repair?
> 
>   Sal Sclafani
> 
>   In a message dated 3/7/2003 6:11:47 PM Eastern Standard
> Time,
> karim@trauma.org writes:
> 
> 
>     Subj: RE: Needle decompression of stomach: tension
> gastrothorax
>     Date: 3/7/2003 6:11:47 PM Eastern Standard Time
>     From: karim@trauma.org
>     Reply-to: trauma-list@trauma.org
>     To: trauma-list@trauma.org
>     Sent from the Internet
> 
> 
> 
>     Sal -
> 
>     For the pics go vis the front page of this month's
> trauma.org.
> 
>     (The case is at :
> http://www.trauma.org/cases/classic010.html)
> 
>     Karim
> 
> 
>       -----Original Message-----
>       From: trauma-list-admin@trauma.org
> [mailto:trauma-list-admin@trauma.org]On Behalf Of
> SJASMD@aol.com
>       Sent: 06 March 2003 15:10
>       To: trauma-list@trauma.org
>       Subject: Re: Needle decompression of stomach:
> tension gastrothorax
> 
> 
>       In a message dated 3/6/2003 9:10:56 AM Eastern
> Standard Time,
> u08ko2@abdn.ac.uk writes:
> 
> 
> 
>         Hey Guys,
> 
>         The intrathoracic positioned stomach, presenting
> as an acute tension
>         gastrothorax:
> 
>         Is needle decompression a therapeutic action for
> tension
> gastrothorax?
>         Would this be a needle blindly inserted into
> somebody's belly, or
> would
>         this be ultrasound (or by some other means)
> guided?
> 
> 
>         Karl
>         Karl P.R.J Orlebar-Edwards
> 
> 
> 
>       got an image?
> 
>       CT might be the best way to safely access this
> structure. I would
> attempt gastropexy with metal anchors like I would a perc
> gastrostomy under
> fluoroscopy
>       Sal Sclafani
> 
> 
> 
> 
> 
> 

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Needle decompression of stomach: tension gastrothorax