PMC3275124_01
Axial CT scan shows 6-cm opening at the posterior segment of the diaphragm. Transvers colon and surrounding fat tissues enter thorax through the diaphragmatic defect. The entering segment of the colon is narrowed. These changes displace diaphragm, spleen and surrounding fat tissues anteriorly.
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An urgent computerized tomography (CT) scan with oral/rectal and intravenous contrast was performed; the scan revealed a left-sided BH, with a large segment of incarcerated transverse colon (Figures 1-2).
Sagittaly reformated CT scan shows dilated proximal transvers colon segment filled with oral contrast material. The entering segment of the colon is narrowed. Thoracic segment of the colon contains air. These changes displace diaphragm, spleen and surrounding fat tissues anteriorly and inferiorly.
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An urgent computerized tomography (CT) scan with oral/rectal and intravenous contrast was performed; the scan revealed a left-sided BH, with a large segment of incarcerated transverse colon (Figures 1-2).
The view of the diaphragmatic defect after the bowel segment was reduced.
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The omentum and the distal part of the transverse colon were found to be attached to the left-sided BH (Figure 3).