PMC10328725_01
Axial and coronal slice CT scans depicting BH.
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fig1
Contemporary imaging via computed tomography (CT) demonstrated that the hernia was now larger, and that there was a 15 mm defect in the posterior hemidiaphragm on the left side, with herniation of intra-abdominal fat, most likely from the retroperitoneum (Figure 1).
Intraoperative photo depicting defect in diaphragm following reduction of contents.
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fig2
The hernia was identified; the main findings were a small defect approximately 3 cm x 3 cm over the left dome of the diaphragm behind the left kidney, containing fat (Figure 2), which was reduced.
Intraoperative photo showing closure with prolene sutures and fixation of polyester mesh.
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fig3
A polyester mesh was placed and fixated with surgical glue (Figure 3).