case_images: PMC11539091_01
case_images: Coronal image from a portal venous CT, showing a complete ascension of the liver into the thoracic cavity, with the left lobe being completely verticalized; signs of hepatic hypoperfusion can also be identified.
case_images: gr1.jpg
case_images: PMC11539091_01_gr1.jpg
case_images: fig0001
case_images: The CT-scan revealed a total ascent of the liver into the thorax resulting in right lung atelectasis and mediastinal deviation (Fig. 1).
case_images: Preoperative view of the diaphragmatic hernia, the suction tube reclining the diaphragm and showing the right lung behind it.
case_images: gr2.jpg
case_images: PMC11539091_01_gr2.jpg
case_images: fig0002
case_images: Intraoperatively, a right posterior hemi diaphragmatic defect was identified, supporting the diagnosis of a Bochdalek hernia (Fig. 2).
case_images: Preoperative view showing a nonresorbable mesh, fixed to the diaphragm anteriorly and to the ribs posteriorly with nonresorbable suture.
case_images: gr3.jpg
case_images: PMC11539091_01_gr3.jpg
case_images: fig0003
case_images: The mesh was sutured to the atrophic diaphragm anteriorly and to the ribs posteriorly (Fig. 3).
case_images: Thoracoabdominal CT scan at postoperative day 11 showing notable hypotrophy of the right liver.
case_images: gr4.jpg
case_images: PMC11539091_01_gr4.jpg
case_images: fig0004
case_images: A thoracoabdominal CT scan (Fig. 4) was performed on postoperative day 11, just before discharge from the hospital, and showed no complications or recurrence.
case_images: Postoperative X-ray 1 month after surgery.
case_images: gr5.jpg
case_images: PMC11539091_01_gr5.jpg
case_images: fig0005
case_images: A chest X-ray (Fig. 5), performed 1 month after the surgery was also considered satisfactory.