case_images: PMC9912997_01
case_images: Computed Tomography of the abdomen and pelvis, coronal view demonstrating diffuse distension of bowel loops with a transition point at the right diaphragmatic defect.
case_images: LS-JSLS230001F001.jpg
case_images: PMC9912997_01_LS-JSLS230001F001.jpg
case_images: F1
case_images: Oral contrast failed to advance past the stomach and a high grade bowel obstruction at a diaphragmatic hernia was identified (Figure 1).
case_images: Laparoscopic view of incarcerated bowel through the right diaphragmatic hernia, bowel grasper retracting medially, the right lobe of the liver, and the other grasper dissecting the hernia defect..
case_images: LS-JSLS230001F002.jpg
case_images: PMC9912997_01_LS-JSLS230001F002.jpg
case_images: F2
case_images: Inspection of the right upper quadrant revealed dilated loops of bowel entering diaphragmatic defect with decompressed small bowel distally (Figure 2).
case_images: Intraoperative view of diaphragmatic defect after reduction.
case_images: LS-JSLS230001F003.jpg
case_images: PMC9912997_01_LS-JSLS230001F003.jpg
case_images: F3
case_images: The hernia defect was then repaired with interrupted polypropylene suture with pledgets (Figure 3).
case_images: Postoperative chest X-ray.
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case_images: PMC9912997_01_LS-JSLS230001F004.jpg
case_images: F4
case_images: The postoperative chest x-ray revealed a successful repair, and follow-up chest x-ray showed trace pleural effusion with atelectasis but no evidence of pneumothorax (Figure 4).
case_images: Three month postoperative chest X-ray.
case_images: LS-JSLS230001F005.jpg
case_images: PMC9912997_01_LS-JSLS230001F005.jpg
case_images: F5
case_images: Furthermore, a chest x-ray obtained three months postoperatively showed no recurrence (Figure 5).