Abstract:
A combination of eventration of diaphragm, Bochdalek hernia and an iatrogenic intra-thoracic gastric
rupture with gastric gangrene is rare and poses various challenges which require urgent and efficient
management with close co-ordination between various specialities. We describe a 23-year-old female
admitted with a history of pain in abdomen, chest pain, breathlessness and profound circulatory shock.
Our patient suffered an iatrogenic gastric perforation induced by inadvertent insertion of the intercostal
drain. Successful management of this challenging patient required quick decision making, skilled peri-
operative care, good communication and close cooperation between the Anaesthesiologist, General
Surgeon, Cardiothoracic Surgeon and Radiologist.
