PMC4929372_01
Chest X-ray showing the intestine in the left lung field (black arrows).
crg-0010-0001-g01.jpg
PMC4929372_01_crg-0010-0001-g01.jpg
F1
Two days after the operation, the patient was suspected of having an intrathoracic hernia by chest X-rays (fig. 1).
Thoracoabdominal CT shows a dilated small intestine and the transverse colon (white arrow) in the left thoracic cavity (a, axial; b, coronal).
crg-0010-0001-g02.jpg
PMC4929372_01_crg-0010-0001-g02.jpg
F2
CT showed incarceration of the transverse colon and Roux limb in the left thoracic space (fig. 2a, b).
Intraoperative findings showing that the transverse colon and small intestine have herniated into the left thoracic cavity (a, arrow). After reduction, the orifice of the hernia was found as a defect between the esophageal hiatus and Roux limb (b, arrow).
crg-0010-0001-g03.jpg
PMC4929372_01_crg-0010-0001-g03.jpg
F3
Operative findings showed that the Roux limb and transverse colon were incarcerated in the thoracic cavity (fig. 3a). After replacement, the orifice of the hernia was found as a defect between the Roux-Y limb and the left crus of the diaphragm (fig. 3b).