PMC5779774_01
The esophagus and abdominal computed tomography scan is normal before colonoscopy.
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F1
The esophagus and abdominal computed tomography (CT) scan (Fig. 1) were normal before colonoscopy.
Colonoscopy can be seen descending colon stenosis.
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F2
During the colonoscopy process, due to descending colon narrowed (Fig. 2), colonoscopy could not be advanced from the anus 40 cm despite of trying twice.
X-rays showed demonstrated several loops of dilated colon within the left upper quadrant.
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F3
X-rays showed several loops of dilated colon within the left upper quadrant (Fig. 3).
A CT scan of the abdomen was showed marked left diaphragmatic hernia formed (as shown by the arrow). CT = computed tomography.
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F4
A CT scan of the abdomen was showed marked protrusion of the large bowel into the left thoracic cavity along with the elevation of the left diaphragm (Fig. 4).