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{
    "pk": 554,
    "title": "Spontaneous Diaphragmatic Hernia",
    "subtitle": null,
    "abstract": "A spontaneous diaphragmatic hernia (SDH) occurs when intra-abdominal contents extend into the thoracic cavity through a defect in the diaphragm after a sudden increase in intra-abdominal pressure. SDH is one of the rarest surgical emergencies with less than 30 reported cases in the literature (1,2). In our case a 94-year-old female presented to the emergency department in respiratory distress with unilateral breath sounds and was diagnosed with a SDH. The only treatment option for a SDH is surgical (3,11). However, nasogastric tube decompression of the gastrointestinal tract and supplemental oxygen can be used to alleviate symptoms until definitive operative management is performed.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0t43s7bg",
    "frozenauthors": [
        {
            "first_name": "Mark",
            "middle_name": "D.",
            "last_name": "Darocki",
            "name_suffix": "",
            "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        },
        {
            "first_name": "Anthony",
            "middle_name": "",
            "last_name": "Medak",
            "name_suffix": "",
            "institution": "University of California San Diego, Department of Emergency Medicine, San Diego, California",
            "department": "None"
        }
    ],
    "date_submitted": "2018-06-05T19:29:30+01:00",
    "date_accepted": "2018-06-05T19:29:30+01:00",
    "date_published": "2018-07-16T20:22:52+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/554/galley/317/download/"
        }
    ]
}