PMC3015255_01
Chest radiograph demonstrating an enlarged mediastinum and a right lower lung field mass.
jsls-2-1-85-g01.jpg
PMC3015255_01_jsls-2-1-85-g01.jpg
F1
Caucasian male with a 17-year history of schizophrenia, who was admitted to Harbor-UCLA Medical Center for an exacerbation of his schizophrenia. Chest radiograph revealed a right lower lung field mass with fluid collected in the right minor fissure (Figure 1).
CT scan of the chest showing the transverse colon entering the chest from the anteromedial region of the diaphragm.
jsls-2-1-85-g02.jpg
PMC3015255_01_jsls-2-1-85-g02.jpg
F2
CT scan of the chest showed the transverse colon entering the right chest via an anteromedial defect of the diaphragm (Figure 2).
3a. The operative appearance of the transverse colon within the diaphragmatic defect.. 3b. The large hernia defect after the contents are reduced.. 3c. The application of the mesh to cover the defect after the peritoneal sac has been removed with cautery.. 3d. The finished repair using interrupted sutures circumferentially to affix the mesh.
jsls-2-1-85-g03c.jpg
PMC3015255_01_jsls-2-1-85-g03c.jpg
F3
The colon was reduced into the abdomen, the hernia sac excised, and the defect was repaired laparoscopically with a 5 x 6 cm Marlex mesh patch using 2-0 prolene suture (Figure 3).
Postoperative chest radiograph confirming repair of the hernia.
jsls-2-1-85-g04.jpg
PMC3015255_01_jsls-2-1-85-g04.jpg
F4
His chest x-ray following surgery was normal (Figure 4).