case_images: PMC11786528_01
case_images: Pouch below the diaphragm (A), gastric remnant in the chest (B)
case_images: cureus-0017-00000076785-i01.jpg
case_images: PMC11786528_01_cureus-0017-00000076785-i01.jpg
case_images: FIG1
case_images: Further imaging with oral contrast revealed herniation of the gastric remnant into the chest (Figure 1).
case_images: Reduction of the gastric remnant (A), traumatic diaphragmatic injury after reduction of the gastric remnant and omentum (B)
case_images: cureus-0017-00000076785-i02.jpg
case_images: PMC11786528_01_cureus-0017-00000076785-i02.jpg
case_images: FIG2
case_images: Intraoperatively, it was noted that her previous hiatal hernia repair was intact and there was a large traumatic defect in the 3 o'clock position of the left hiatus (Figure 2, panel B). The excluded gastric remnant and omentum were reduced back into the abdomen (Figure 2, panel A) and the diaphragmatic defect was repaired primarily.