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Preoperative chest radiograph clearly demonstrating mediastinal loops of bowel.
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An initial chest radiograph (Fig. 1) showed dilated loops of bowel located centrally in the thoracic cavity, obscuring the cardiac silhouette, with opacification of the lower lobe of the left lung.
A chest computed tomography scan demonstrating mediastinal loops of bowel.
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These findings were suspicious for CDH, which was confirmed by a thoracic CT scan (Fig. 2).
Intraoperative reduction of herniated bowel from within the pericardium.
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Within the pericardium we found the hernia sac, which was also incised, revealing loops of small bowel that were incarcerated, but not strangulated (Fig. 3).