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a, b) Chest and abdominal radiographs demonstrate Chilaiditi syndrome and bowel obstruction, respectively.
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Hemi-diaphragm, suggestive of Chilaiditi syndrome, while abdominal plain x-ray showed multiple dilated small bowel loops with the absence of air in the rectum. (Fig. 1a, b). Her baseline workup showed blood urea nitrogen of 8 mg/dl and creatinine of 0.7 mg/dl.
a and b) Axial and Coronal views of contrast-enhanced abdominal CT scan showing an entrapped bowel loop in right hemithorax suggestive of Morgagni diaphragmatic hernia.
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The terminal ileum and large bowel were largely collapsed (Fig. 2a,b).
a) Demonstrates a defect in the anterior half of the right hemidiaphragm. b) Showed hernia sac.
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Intraoperative findings include herniation of a viable segment of proximal ileum through a defect of approximately 4 cm in the anterior portion of the right hemidiaphragm (Fig. 3a,b).