Fig. 1
From: Gastric perforation secondary to an incarcerated paraesophageal hernia
Preoperative computed tomography scan. Preoperative computed tomography scan (a, c, d) showing the gastric fundus and upper body incarcerated within the hiatal hernia (white arrow). The perforation (arrowhead) was located at the fundus outside the sac, which was locally ischemic and necrotic owing to complete cessation of blood supply (yellow arrow). All arteries, including the short gastric artery, were not clear on computed tomography, but arteries flowed into the sac at the hernia orifice (b, c, d) and disappeared