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{
    "pk": 7911,
    "title": "Incarcerated Diaphragmatic Hernia with Bowel Perforation Presenting as a Tension Pneumothorax",
    "subtitle": null,
    "abstract": "We present an interesting case of a patient with a previously known diaphragmatic hernia in which the colon became incarcerated, ischemic and finally perforated. She had no prior history of abdominal pain or vomiting, yet she present with cardiovascular collapse. To our knowledge, this is the only case report of a tension pneumothorax associated with perforated bowel that was not in the setting of trauma or colonoscopy. [West J Emerg Med. 2014;15(2):142-144.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 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\nNonCommercial — You may not use the material for commercial purposes.\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-nc/4.0"
    },
    "keywords": [
        {
            "word": "tension pneumothorax"
        },
        {
            "word": "diaphragmatic hernia"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/5r43959n",
    "frozenauthors": [
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Offman",
            "name_suffix": "",
            "institution": "Mercy Health Partners, Muskegon, Michigan",
            "department": "None"
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Spencer",
            "name_suffix": "",
            "institution": "Michigan State University College of Osteopathic Medicine, East Lansing, Michigan",
            "department": "None"
        }
    ],
    "date_submitted": "2013-08-05T01:27:32Z",
    "date_accepted": "2013-08-05T01:27:32Z",
    "date_published": "2014-02-20T00:23:44Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7911/galley/4595/download/"
        }
    ]
}