PMC4721128_01
(a) Radiograph of the abdomen prior to presentation at our institute showing evidence of viscus in left hemithorax. (b) The radiograph when the child presented to us. Note the paucity of bowel gas excluding the single stomach gas shadow suggesting the possibility of a volvulus
JIAPS-21-38-g001.jpg
PMC4721128_01_JIAPS-21-38-g001.jpg
F1
A preliminary work up for her past symptoms in another hospital revealed that she had a suspected left sided eventration as seen on the chest X-ray [Figure 1a]. A skiagram [Figure 1b] at this stage revealed a gastric bubble, with a paucity of distal bowel gas and a raised left hemi diaphragm.
(a) Defect in the diaphragm is seen with well-defined anterior lip (arrows). (b) Intraoperative image of the mass seen to occupy the cranial aspect of the diaphragmatic hernia sac (cut edges indicated by arrows)
JIAPS-21-38-g002.jpg
PMC4721128_01_JIAPS-21-38-g002.jpg
F2
There was a large defect in the posterolateral aspect of the left hemi-diaphragm, which was covered with a sac and the diaphragm had a reasonably well-developed rim of muscle along the anterior segment [Figure 2a].