PMC8052610_01
PMC8052610_02
coronary axis CT: the right chest cavity almost completely occupied by loops of the gastrointestinal tract and intrathoracic projection of the mesenteric vessels
PAMJ-38-150-g001.jpg
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F1
From the first axial images the diagnosis was established (Figure 1).
after the induction of anesthesia the scaphoid abdomen of the patient is obvious (patient's genitalia are covered)
PAMJ-38-150-g002.jpg
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F2
With a transverse incision in the right upper quadrant, we accessed the abdominal cavity and found a defect in the right diaphragm (Figure 2, Figure 3).
herniated intestinal loops
PAMJ-38-150-g003.jpg
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F3
With a transverse incision in the right upper quadrant, we accessed the abdominal cavity and found a defect in the right diaphragm (Figure 2, Figure 3).
restoration of the diaphragmatic defect according to the Mayo technique; insertion of a chest tube through the sixth intercostal space
PAMJ-38-150-g004.jpg
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F4
We then closed the defect of the diaphragm according to the Mayo technique and reassessed the retracted bowel which seemed to be normal (Figure 4).