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Gangaram Akangire, MD; Archana Kulkarni, MD; Bonna Benjamin, MD; Jason Nirgiotis, MD

Arch Pediatr Adolesc Med. 2009;163(6):583.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 7-year-old girl fell while running. It seemed to be a minor fall, and she was fine immediately after the incident. Ten to 15 minutes later, she began to experience mild abdominal and left anterior chest pain. Breathing difficulty developed, and she was taken to the emergency department. The girl was afebrile with a normal heart rate. Her respiratory rate was 20/min, and she maintained greater than 95% oxygen saturation. A chest examination showed decreased breath sounds on the left and dullness to percussion at the left base of the lung. The abdomen was tender in the epigastric region and was soft and nondistended without guarding or rigidity. Chest and abdominal radiographs showed a gaseous pattern (Figure 1) and coiling of a nasogastric tube (Figure 2) in the left chest.

Figure appears in full text version. Figure 1. Radiograph of . . . [Full Text of this Article]

Author Affiliations: Department of Pediatrics, Texas Tech University Health Sciences Center, Amarillo.

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