PMC5742013_01
Chest X-Ray showing large rounded homogenous opacity along with air filled gut loops in left hemi-thorax compressing the left lung to left apical region and mediastinal shift to contralateral side resulting in a compressed right lung.
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There was very significant mediastinal shift to contralateral side resulting in a compressed right lung (Fig. 1).
Per-operative photograph showing an iatrogenic perforation of about 1.5 x 1.5 cm on the greater curvature of the stomach (the tip of forceps in the perforation).
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The stomach was full of brownish black thick fluid coming out from iatrogenic perforation of about 1.5 x 1.5 cm on the greater curvature. (Fig. 2).
Post-operative chest X-ray showing the normalized shape of diaphragm with left lung expanded significantly and right lung fully and the mediastinum shifted back to its normal midline position.
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The right lung was fully expanded with the mediastinum shifting back to its normal midline position (Fig. 3).