case_images: PMC10560133_01
case_images: (A,B) Contrast-enhanced computed tomography carried out 15 min after transfer of an 89-year-old man following a motorcycle accident demonstrates gastric herniation through an anterior diaphragmatic defect into the pericardial sac with compression of the right ventricle (asterisk). (C) Emergency laparotomy reveals a 5 cm diaphragmatic defect (arrow). (D) Computed tomography 3 days after admission demonstrates no hernia recurrence.
case_images: AMS2-10-e895-g002.jpg
case_images: PMC10560133_01_AMS2-10-e895-g002.jpg
case_images: ams2895-fig-0001
case_images: A contrast-enhanced computed tomography (CT) performed 15 min after patient transfer revealed multiple injuries, including gastric herniation through an anterior diaphragmatic defect into the pericardial sac (Figure 1A,B), with compression of the right ventricle (asterisk), left renal artery injury, retroperitoneal hemorrhage, and pelvic fracture. An emergency laparotomy performed 3 h after CT image acquisition revealed a 5 cm diaphragmatic defect (white arrow) (Figure 1C). Three days after admission, CT revealed no hernia recurrence (Figure 1D).