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Surgical Case Reports
Fig. 1 | Surgical Case Reports

Fig. 1

From: Laparoscopic repair and total gastrectomy for delayed traumatic diaphragmatic hernia complicated by intrathoracic gastric perforation with tension empyema: a case report

Fig. 1

Preoperative imaging findings. a Chest X-ray showing the opacity of the entire left lung field with pleural fluid and left intrathoracic free air. The trachea and mediastinum shifted to the right. b Coronal images of the enhanced computed tomography (CT) scan on admission revealed that the fundus and corpus of the stomach with reduced contrast enhancement herniated to the left thoracic cavity through a defect in the diaphragm. The cardia and pylorus of the stomach presented normal enhancement. c The left lung is excluded by the gastric content of the herniated body, intrathoracic free air, and pleural effusion. d A plain CT scan obtained during the patient’s previous admission showed a small defect in the left hemidiaphragm with a herniated omentum

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