Case 5-1996

Authors:
  • JCJ.J. Collins
    J.J. Collins
  • MPM.R. Pins
    M.R. Pins
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Abstract
Presentation of CaseA 25-year-old man was admitted to the hospital because of persistent chest pain and dyspnea after an injury.The patient had been well until one week earlier, when a bale of newspapers weighing an estimated 900 kg fell on his chest. He was seen at another hospital, where plain chest radiographs were normal. On the following day mild dyspnea and chest pain developed, with pain in the right upper abdomen and vomiting. He returned to the same hospital, and erythromycin was prescribed, without benefit. Computed tomographic (CT) scans of the chest (Figure 1) and abdomen showed a . . .