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Surgical Case Reports
Fig. 2 | Surgical Case Reports

Fig. 2

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

Fig. 2

Surgical findings. a Precise exploration of the abdominal cavity and diaphragm revealed that the stomach incarcerated into the left thoracic cavity through a hernial defect in the left hemidiaphragm. The intraperitoneal body of the stomach was viable. b The herniated body was pulled back to the abdominal cavity after hernia orifice enlargement and gastric content aspiration. The fundus and corpus of the stomach were necrotic. c The hernia defect before closure was estimated to be 4 cm in the major axis after incision. The thoracic cavity could be observed and were drained through the defect. d The hernial defect was completely closed using a nonabsorbable running suture

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