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Chest clinic
Images in thorax
Bochdalek hernia as unusual cause of massive hydrothorax in a 50-year-old man
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  1. Qiang Sun1,
  2. Bao-Ying Wang2,
  3. Qing-Sheng Wang1,
  4. Qiang Tan1
  1. 1Department of Cardiology, The First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China
  2. 2Department of Clinical Laboratory, The Third Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China
  1. Correspondence to Dr Qiang Sun, Department of Cardiology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, Hebei Province 066000, China; hospitalno1{at}126.com

http://dx.doi.org/10.1136/thoraxjnl-2016-208590

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    A 50-year-old man was urgently admitted to our department with acute dyspnoea and upper abdominal pain for 4 h. He had no history of any previous thoracoabdominal trauma or surgery. On physical examination, auscultation revealed diminished breath sound with dullness to percussion over the left hemithorax. There was marked abdominal tenderness on the left side, but no guarding or rebound tenderness. The leucocyte count revealed a marked leucocytosis of 23.87x109/L with a mildly elevated neutrophilic …

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