PMC9709171_01
Initial chest X-ray showing a shift of trachea, mediastinum, ruptured diaphragm, left lower lobe collapse, herniated stomach, and bowel.
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The chest X-ray (CXR) revealed a right tracheal deviation, left lung collapse, right mediastinum shift, and significant fluid level beneath a raised left hemidiaphragm, authenticating a left hemidiaphragmatic rupture with gastric herniation (Figure 1).
Computed tomography showing collapse and compression of the left lung, right mediastinal shift, right pneumomediastinum, and herniation of the stomach in left hemithorax through the diaphragmatic defect.
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After further resuscitation, the team decided to do a computed tomography (CT) room, which revealed collapse and compression of the left lung, right mediastinal shift, right pneumomediastinum, and herniation of the stomach in left hemithorax through a diaphragmatic defect (Figure 2).