PMC6066472_01
Chest radiograph shows gastric bubbles occupying the left thoracic cavity.
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Chest X-ray films showed an air bubble with an air-fluid interface in the left thoracic cavity (Fig. 1).
Computed tomography shows that the stomach, spleen, and colon were prolapsing into the left thoracic cavity.
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Contrast-enhanced chest and abdominal computed tomography showed prolapse of the spleen, stomach, and colon into the left thoracic cavity (Fig. 2).
Three trocars were placed in the umbilical (12 mm), right hypochondriac (5 mm), and left hypochondriac (12 mm) regions.
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Three trocars were used, one each in the umbilical (12 mm), right hypochondriac (5 mm), and left hypochondriac (12 mm) regions (Fig. 3).
A 7- x 5-cm hernial defect was found without a hernial sac.
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A 7- x 5-cm hernial defect without a hernial sac was found (Fig. 4).
The defect was repaired with absorbable suture (3-0 VICRYL; Ethicon) and reinforced with Parietex Optimized Composite mesh (Covidien). The mesh was fixed to the diaphragm with an Endo Universal stapler (Covidien).
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The mesh was fixed to the diaphragm with an Endo Universal stapler (Covidien) (Fig. 5).
The postoperative chest radiograph at the 1-year follow-up showed no sign of recurrence.
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At the 1-year follow-up, physical and radiological examinations showed no signs of recurrence (Fig. 6).