PMC5926517_01
Chest X-ray performed immediately after admission to the Emergency Department. A large part of the small intestine has been transported to the right hemithorax causing functional right pneumonectomy. This image is in accordance with the clinical findings of the patient, which suggested acute respiratory distress syndrome.
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Chest X-ray revealed that the right lung was totally suppressed by the intestine and suggested that due to intestinal transposition to the thoracic cavity, a functional right pneumonectomy had occurred (Figure 1).
Abdomen and thorax CT scan. The findings confirmed the diagnosis of diaphragm traumatic herniation and the development of acute respiratory distress syndrome due to functional right pneumonectomy. Note that the right hemidiaphragm is absent and a large part of the small intestine is transported to the right side of the thoracic cavity.
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CT scan of the thorax and abdomen detected a right diaphragm defect and herniation of the small intestine, which was also ischaemic due to venous circulation occlusion (Figure 2).