PMC5067298_01
Chest X Ray showing an elevated right diaphragm.
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Chest X-Ray showed an elevated right diaphragm (Fig. 1).
Herniation of the liver, gallbladder, omentum and stomach in thoracic CT.
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Thoraco-abdominal CT detected an elevated right diaphragm due to herniation of liver, gallbladder, stomach and omentum. (Fig. 2).
Intraoperatively reduction of herniated organs.
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Diaphragmatic hernia defect was approximately 18 x 15 cm in size (Fig. 3).
Reduction of herniated organs.
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The herniated right lobe of liver, gallbladder, stomach and omentum were relocated to their anatomical position after meticulous dissection of the adhesions (Fig. 4, Fig. 5)
Repairing of diaphragmatic defect with dual mesh.
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The dual mesh was properly laid to strong diaphragm and it was primary sutured with interrupted 2-0 polypropylene sutures (Fig. 6).
Appearance of postoperative right diaphragm in chest X-ray.
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The patient's postoperative course was uneventful with enough expansion in the right lung (Fig. 7).
Chest X-ray after postoperative 3 months.
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The 3th month follow-up confirmed the healing of the diaphragmatic hernia (Fig. 8).