case_images: PMC11412849_01
case_images: Legend (A) Preoperative CT scan showing a giant diaphragmatic hernia. (B) 3D reconstruction volumetry with the abdominal volume (green), the hernia volume (red), the right lung (yellow) and the left lung (dark green). (C) 3D reconstruction with an inferior view showing the defect through the diaphragm. (D) Post-operative CT scan showing no recurrence at 24 months.
case_images: jaws-03-13448-g001.jpg
case_images: PMC11412849_01_jaws-03-13448-g001.jpg
case_images: F1
case_images: A CT scan revealed a large right diaphragmatic hernia with mixed contents including colonic, small bowel, hepatic and omental elements (Figure 1A). Volumetric analysis using 3D Slicer software showed a hernia sac volume of 2,229 cm3 against an abdominal volume of 3,654 cm3, resulting in a 38% ratio according to the Sabbagh method (Figure 1B). No recurrence was observed at the 24-month follow-up imaging, with excellent functional results and resolution of dyspnea (Figure 1D).