case_images: PMC4929372_01
case_images: Chest X-ray showing the intestine in the left lung field (black arrows).
case_images: crg-0010-0001-g01.jpg
case_images: PMC4929372_01_crg-0010-0001-g01.jpg
case_images: F1
case_images: Two days after the operation, the patient was suspected of having an intrathoracic hernia by chest X-rays (fig. 1).
case_images: Thoracoabdominal CT shows a dilated small intestine and the transverse colon (white arrow) in the left thoracic cavity (a, axial; b, coronal).
case_images: crg-0010-0001-g02.jpg
case_images: PMC4929372_01_crg-0010-0001-g02.jpg
case_images: F2
case_images: CT showed incarceration of the transverse colon and Roux limb in the left thoracic space (fig. 2a, b).
case_images: Intraoperative findings showing that the transverse colon and small intestine have herniated into the left thoracic cavity (a, arrow). After reduction, the orifice of the hernia was found as a defect between the esophageal hiatus and Roux limb (b, arrow).
case_images: crg-0010-0001-g03.jpg
case_images: PMC4929372_01_crg-0010-0001-g03.jpg
case_images: F3
case_images: Operative findings showed that the Roux limb and transverse colon were incarcerated in the thoracic cavity (fig. 3a). After replacement, the orifice of the hernia was found as a defect between the Roux-Y limb and the left crus of the diaphragm (fig. 3b).