case_images: PMC9328991_01
case_images: Physical examination showing bowel contour in the epigastric region and LUQ.
case_images: CRIM2022-3355058.001.jpg
case_images: PMC9328991_01_CRIM2022-3355058.001.jpg
case_images: fig1
case_images: The patient's abdominal examination showed a bowel contour in the epigastric region and left upper quadrant (LUQ) (Figure 1), and, on auscultation, bowel sounds were increased.
case_images: The thoracoabdominal CT scan without contrast showing a left-sided diaphragmatic defect (indicated by the white arrow) with herniation of the bowel into the thorax cavity (coronal view).
case_images: CRIM2022-3355058.002.jpg
case_images: PMC9328991_01_CRIM2022-3355058.002.jpg
case_images: fig2
case_images: The thoracoabdominal computerized tomography (CT) scan without contrast showed a left-sided diaphragmatic defect with herniation of the bowel into the thoracic cavity (Figure 2).
case_images: (a) The 8 cm defect in the posterolateral left diaphragm (indicated by the arrow), through which the colon transversum, spleen, and half of the stomach had herniated. (b) The colon transversum was completely necrotic.
case_images: CRIM2022-3355058.003.jpg
case_images: PMC9328991_01_CRIM2022-3355058.003.jpg
case_images: fig3
case_images: There was an 8 cm defect in the posterolateral left diaphragm, through which the colon transversum, spleen, and half of the stomach had herniated (Figure 3(a)). The colon transversum was completely necrotic (Figure 3(b)), and 200 ml of serohemorrhagic fluid drained from the thorax cavity.