case_images: PMC5779774_01
case_images: The esophagus and abdominal computed tomography scan is normal before colonoscopy.
case_images: medi-97-e9660-g001.jpg
case_images: PMC5779774_01_medi-97-e9660-g001.jpg
case_images: F1
case_images: The esophagus and abdominal computed tomography (CT) scan (Fig. 1) were normal before colonoscopy.
case_images: Colonoscopy can be seen descending colon stenosis.
case_images: medi-97-e9660-g002.jpg
case_images: PMC5779774_01_medi-97-e9660-g002.jpg
case_images: F2
case_images: During the colonoscopy process, due to descending colon narrowed (Fig. 2), colonoscopy could not be advanced from the anus 40 cm despite of trying twice.
case_images: X-rays showed demonstrated several loops of dilated colon within the left upper quadrant.
case_images: medi-97-e9660-g003.jpg
case_images: PMC5779774_01_medi-97-e9660-g003.jpg
case_images: F3
case_images: X-rays showed several loops of dilated colon within the left upper quadrant (Fig. 3).
case_images: A CT scan of the abdomen was showed marked left diaphragmatic hernia formed (as shown by the arrow). CT = computed tomography.
case_images: medi-97-e9660-g004.jpg
case_images: PMC5779774_01_medi-97-e9660-g004.jpg
case_images: F4
case_images: A CT scan of the abdomen was showed marked protrusion of the large bowel into the left thoracic cavity along with the elevation of the left diaphragm (Fig. 4).