PMC6045491_01
Patient's senile appearance.
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FI170340cr-1
The patient was a small, thin infant with "senile" appearance ( Fig. 1 ), micrognathia, crumpled ears, and reduced muscle mass and subcutaneous tissue.
Chest X-ray showing an intrathoracic gas bubble compatible with stomach.
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FI170340cr-2
Ultrasound showed no stomach at its normal position, but a compatible structure was observed through the right diaphragm and an intrathoracic gas bubble with the nasogastric tube inside was seen ( Fig. 2 ).
Upper gastrointestinal contrast study confirming the complete herniation of the stomach into the left thorax.
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FI170340cr-3
The diagnostic workup completed by an upper gastrointestinal water-soluble contrast study, confirming the complete herniation of the stomach into the right thorax ( Fig. 3 ).
Large and partially volvulating stomach, almost completely herniated into the thorax.
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FI170340cr-4
We confirmed the presence of a large stomach, volvulating over its mesenteroaxial axis and almost completely herniated ( Fig. 4 ) through a wide diaphragmatic hiatus ( Fig. 5 ).