PMC5465793_01
Right-sided air bubble on a plain radiograph.
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f1
A plain chest film showed an air bubble with air-fluid level in her right paracardiac region (Fig. 1).
Endoscopic view of a twisted stomach.
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An upper-gastrointestinal tract endoscopy revealed a twisted stomach, and the endoscope hardly passed through the distal part of the stomach (Fig. 2).
Axial (a), coronal (b), and sagittal (c) images showing anteromedial diaphragmatic defect (white arrows) and intrathoracic herniation of the stomach (ST) and transverse colon (arrowheads).
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f3
For excluding volvulus, hourglass stomach, or other pathologies related to this endoscopic finding, a thoracoabdominal CT scan was performed, and the CT images showed a Morgagni hernia, characterized by an anteromedial diaphragmatic defect with herniation of the transverse colon and the herniation of the distal part of the stomach into the thorax (Fig. 3).