PMC6796753_01
CT scan of the chest and abdomen showing voluminous left diaphragmatic hernia.
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The tomography showed the hernia content, with the presence of splenic flexure of the colon, stomach, omentum, spleen and organs in the abdominal cavity outside the usual position with discrete deviation (Fig. 1).
Hernia orifice in diaphragm.
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It was initially found jejunum and ileum filling the chest cavity, bowel with adequate blood flow, good viability, no perforations or adhesions in pleura (Fig. 2, Fig. 3).
Enlargement of the hernia to reduce hernia content.
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It was chosen a concomitant left subcostal laparotomy incision to reduce the bowel to obtain a total success in reducing all hernia contents to the abdominal cavity (Fig. 4, Fig. 5).