PMC9887932_01
a and b - Chest X-ray and coronal view of HRCT chest of Case 1 respectively showing herniated dilated transverse colon loops with a compressed left lung and mediastinum shifted to the right. c and d - Coronal view of CECT of thorax and abdomen of Case 2 and Case 3 respectively showing herniated transverse colon loops. Solid white arrow shows herniated segment.. HRCT, high resolution CT; CECT, contrast enhanced CT
cureus-0015-00000033214-i01.jpg
PMC9887932_03_cureus-0015-00000033214-i01.jpg
FIG1
A follow up CECT thorax and abdomen (Figure 1d) done at 6 months suggested herniation of the transverse colon and mesocolic fat into the posterior mediastinum adjacent to the gastric conduit.
Intra-operative images: (a) the gangrenous transverse colon in case 1; (b) after resection of the gangrenous colon and repair of the diaphragm in case 1; (c) the hiatal hernial defect in case 2 (b) after suture repair of the defect in case 2. The solid white arrow shows the defect, the dotted arrow shows the suture line.
cureus-0015-00000033214-i02.jpg
PMC9887932_02_cureus-0015-00000033214-i02.jpg
FIG2
The esophageal hiatus was 5 cm wide with a defect present by the left and anterior aspect of gastric conduit, which was primarily repaired (Figure 2c,d).
PMC9887932_02
a and b - Chest X-ray and coronal view of HRCT chest of Case 1 respectively showing herniated dilated transverse colon loops with a compressed left lung and mediastinum shifted to the right. c and d - Coronal view of CECT of thorax and abdomen of Case 2 and Case 3 respectively showing herniated transverse colon loops. Solid white arrow shows herniated segment.. HRCT, high resolution CT; CECT, contrast enhanced CT
cureus-0015-00000033214-i01.jpg
PMC9887932_03_cureus-0015-00000033214-i01.jpg
FIG1
A follow up CECT thorax and abdomen (Figure 1d) done at 6 months suggested herniation of the transverse colon and mesocolic fat into the posterior mediastinum adjacent to the gastric conduit.
Intra-operative images: (a) the gangrenous transverse colon in case 1; (b) after resection of the gangrenous colon and repair of the diaphragm in case 1; (c) the hiatal hernial defect in case 2 (b) after suture repair of the defect in case 2. The solid white arrow shows the defect, the dotted arrow shows the suture line.
cureus-0015-00000033214-i02.jpg
PMC9887932_02_cureus-0015-00000033214-i02.jpg
FIG2
The esophageal hiatus was 5 cm wide with a defect present by the left and anterior aspect of gastric conduit, which was primarily repaired (Figure 2c,d).
PMC9887932_03
a and b - Chest X-ray and coronal view of HRCT chest of Case 1 respectively showing herniated dilated transverse colon loops with a compressed left lung and mediastinum shifted to the right. c and d - Coronal view of CECT of thorax and abdomen of Case 2 and Case 3 respectively showing herniated transverse colon loops. Solid white arrow shows herniated segment.. HRCT, high resolution CT; CECT, contrast enhanced CT
cureus-0015-00000033214-i01.jpg
PMC9887932_03_cureus-0015-00000033214-i01.jpg
FIG1
A follow up CECT thorax and abdomen (Figure 1d) done at 6 months suggested herniation of the transverse colon and mesocolic fat into the posterior mediastinum adjacent to the gastric conduit.