TY  - JOUR
T1  - IMage of the month—quiz case
AU  - Gabryel P, Gąsiorowski Ł, Gałęcki B, Dyszkiewicz W
Y1  - 2013/02/01
N1  - 10.1001/jamasurgery.2013.418a 10.1001/jamasurgery.2013.418b
JO  - JAMA Surgery
SP  - 205
EP  - 205
VL  - 148
IS  - 2
N2  - 
A 63-year-old woman who had a left hemicolectomy 3 years ago (secondary to adenocarcinoma of splenic curvature of colon [T4N1, Dukes C2]) presented with dyspnea, retrosternal pain, and low-grade fever for a few days. A physical examination revealed tachycardia and hypotension. Auscultatory percussion over the heart was tympanic, and metallic splashing sounds synchronous with heart beats could be heard as well. A chest radiograph showed an area of radiolucency on both sides of the heart and a poorly visible, narrow radiolucent area extending toward the colon (Figure 1).

SN  - 2168-6254
M3  - doi: 10.1001/jamasurgery.2013.418a 10.1001/jamasurgery.2013.418b
UR  - http://dx.doi.org/10.1001/jamasurgery.2013.418a 10.1001/jamasurgery.2013.418b
ER  -