Medical Image of the Month: Pectus Excavatum

Abstract

No abstract available. Article truncated after 150 words. Case Presentation A 78-year-old man presented to the emergency department with abdominal discomfort and was ultimately diagnosed with a small bowel obstruction requiring laparoscopic surgery. The patient woke up early in the morning with abdominal pain, which was constant. Nothing alleviated his symptoms. 3 hours later he developed dyspnea and, at that point, went to the hospital. The patient subsequently underwent enhanced commuted tomography of the chest, abdomen, pelvis. Patient was found to have an acute small bowel obstruction and mesenteric swirling and mistiness. Patient was also found to have severe pectus excavatum with the inferior body of the sternum measuring 1.3 cm from the anterior border of T11 vertebral body. General surgery was consulted. Patient ultimately underwent laparoscopic surgery with removal of adhesions and a small bowel serosal tear was repaired. The patient recovered well. Discussion Pectus excavatum is a deformity of the chest wall that is characterized by …

Keywords

• pectus excavatum
• sunken chest
• haller index
• haller index calculation
• mitral valve prolapse
• atrial arrythmia
• pulmonary function testing
• restrictive lung disease
• nuss procedure
• exercise tolerance