case_images: PMC6796753_01
case_images: CT scan of the chest and abdomen showing voluminous left diaphragmatic hernia.
case_images: gr1.jpg
case_images: PMC6796753_01_gr1.jpg
case_images: fig0005
case_images: The tomography showed the hernia content, with the presence of splenic flexure of the colon, stomach, omentum, spleen and organs in the abdominal cavity outside the usual position with discrete deviation (Fig. 1).
case_images: Hernia orifice in diaphragm.
case_images: gr2.jpg
case_images: PMC6796753_01_gr2.jpg
case_images: fig0010
case_images: It was initially found jejunum and ileum filling the chest cavity, bowel with adequate blood flow, good viability, no perforations or adhesions in pleura (Fig. 2, Fig. 3).
case_images: Enlargement of the hernia to reduce hernia content.
case_images: gr4.jpg
case_images: PMC6796753_01_gr4.jpg
case_images: fig0020
case_images: It was chosen a concomitant left subcostal laparotomy incision to reduce the bowel to obtain a total success in reducing all hernia contents to the abdominal cavity (Fig. 4, Fig. 5).