Intrathoracic caecal perforation presenting as XXXX .

@entity1 @entity154 @entity1143 @entity1353 @entity39 @entity2914 @entity591 @entity490 @entity551
Introduction. @entity2914 is a @entity154 of the diaphragm that is usually diagnosed in the neonatal period and incidentally in asymptomatic adults. Small bowel incarceration in a right-sided @entity2914 is exceptional for an adult. Case Presentation. A 54-year-old @entity1 was admitted for acute @entity1353 , @entity591 , @entity551 , and fever. Five days before, she had been experiencing an episode of diffuse @entity490 . The admission chest X-ray was interpreted as right @entity1143 and pneumothorax with left mediastinal shift. Chest tube drainage was purulent. The thoracoabdominal CT examination suspected an intestinal incarceration through a right diaphragmatic defect. At laparotomy, a right-sided @entity2914 was confirmed with a complete @entity39 of the incarcerated caecum. Ileocaecal resection was performed, but the @entity1 died from delayed septic complications. Conclusion. Intrathoracic perforation of the caecum is a rare occurrence; delayed diagnosis due to misleading initial symptoms may lead to severe complications and poor prognosis.
