case_images: PMC9852327_01
case_images: Chest radiographs. (A) Initial chest radiograph revealing an elevated left hemidiaphragm and pneumothorax in the left lung. (B) Chest radiograph showed left pleural effusion and a mediastinal shift toward the right with an elevated left hemidiaphragm. (C) Postoperative chest radiograph revealed normal positions of the stomach bubble and diaphragmatic contour.
case_images: fsurg-09-1059604-g001.jpg
case_images: PMC9852327_01_fsurg-09-1059604-g001.jpg
case_images: F1
case_images: Chest radiography revealed a pneumothorax in the left lung with an elevated left hemidiaphragm (Figure 1A). Chest x-ray revealed a left pleural effusion and a mediastinal shift toward the right with an elevated left hemidiaphragm (Figure 1B). The postoperative chest x-rays were normal, and the patient was discharged in good condition 10 days after the second operation without complications (Figure 1C).
case_images: CT scans. (A) Preoperative chest CT image showed left pleural effusion, collapsed lung and intragastric gas with an air-fluid level in the left thoracic cavity. (B) Coronal CT image demonstrating that the stomach had migrated into the thorax.
case_images: fsurg-09-1059604-g002.jpg
case_images: PMC9852327_01_fsurg-09-1059604-g002.jpg
case_images: F2
case_images: Emergency chest computed tomography (CT) demonstrated left pleural effusion, collapsed lung, and left DH, which allowed the stomach to herniate into the chest (Figures 2A,B).
case_images: Intraoperative findings of the second operation. (A) Contamination of the thoracic cavity with stomach contents. (B) Intraoperatively, a 6-cm-diameter diaphragmatic defect was found.
case_images: fsurg-09-1059604-g003.jpg
case_images: PMC9852327_01_fsurg-09-1059604-g003.jpg
case_images: F3
case_images: Intraoperatively, a contaminated thoracic cavity with stomach contents was observed, without pleural adhesions (Figure 3A). There was an approximately 6-cm diaphragmatic defect in the left posteromedial diaphragm, and the stomach had a 1-cm rupture and was herniated into the thorax through the defect (Figure 3B).