Intestinal Air in the Mediastinum

      Case Presentation

      A 74-year-old man, in excellent physical condition and doing regular intense cycling, was evaluated for transient episodes of thoracic discomfort over a period of several months. His medical history only included a right inguinal hernia, surgically treated, and an abdominal aortic aneurysm measured at 46 mm and treated medically. Physical examination did not reveal much information. The patient did not report gastroesophageal reflux, dysphagia, or history of digestive occlusion. The patient had normal weight and had no trauma history. He had no nicotine or alcohol-dependent behaviors. Vital signs were within normal values. Laboratory test results were normal. Functional status was normal, without anomalies of pulmonary function tests or arterial blood gases. The ECG did not reveal any anomaly.
      To read this article in full you will need to make a payment


      Subscribe to CHEST
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Langham M.R.
        • Kays D.W.
        • Ledbetter D.J.
        • Frentzen B.
        • Sanford L.L.
        • Richards D.S.
        Congenital diaphragmatic hernia: epidemiology and outcome.
        Clin Perinatol. 1996; 23: 671-688
        • Thomas S.
        • Kapur B.
        Adult Bochdalek hernia: clinical features, management and results of treatment.
        Jpn J Surg. 1991; 21: 114-119
        • Mullins M.E.
        • Stein J.
        • Saini S.S.
        • Mueller P.R.
        Prevalence of incidental Bochdalek's hernia in a large adult population.
        AJR Am J Roentgenol. 2001; 177: 363-366
        • Gale M.E.
        Bochdalek hernia: prevalence and CT characteristics.
        Radiology. 1985; 156: 449-452
        • Nasr A.
        • Fecteau A.
        Foramen of Morgagni hernia: presentation and treatment.
        Thorac Surg Clin. 2009; 19: 463-468
        • Chaturvedi A.
        • Rajiah P.
        • Croake A.
        • Saboo S.
        • Chaturvedi A.
        Imaging of thoracic hernias: types and complications.
        Insights Imaging. 2018; 9: 989-1005
        • Roberts H.C.
        Imaging the diaphragm.
        Thorac Surg Clin. 2009; 19 (v): 431-450
        • Park A.
        • Doyle C.
        Laparoscopic Morgagni hernia repair: how I do it.
        J Gastrointest Surg Off J Soc Surg Aliment Tract. 2014; 18: 1858-1862
        • Godazandeh G.
        • Mokhtari-Esbuie F.
        Laparoscopic repair of Morgagni hernia: three-case presentation and the literature.
        Case Rep Surg. 2016; 2016: 4268539
        • Horton J.D.
        • Hofmann L.J.
        • Hetz S.P.
        Presentation and management of Morgagni hernias in adults: a review of 298 cases.
        Surg Endosc. 2008; 22: 1413-1420