case_images: PMC11288843_01
case_images: The yellow arrow indicates bowel loops with haustral markings and gas in the left hemithorax. The red arrow indicates a significant shift of the mediastinum to the right side. The image also shows significant tracheal deviation outlined by the yellow dashed line.
case_images: fsurg-11-1369255-g001.jpg
case_images: PMC11288843_01_fsurg-11-1369255-g001.jpg
case_images: F1
case_images: Subsequently, a chest x-ray revealed left lung compression, herniation of bowel loops into the hemithorax, and mediastinal shift to the right side (Figure 1).
case_images: The white arrow indicates the pericardial sac tear. The white dashed line outlines the diaphragmatic defect. "Dphr" labels the left hemidiaphragm.
case_images: fsurg-11-1369255-g002.jpg
case_images: PMC11288843_01_fsurg-11-1369255-g002.jpg
case_images: F2
case_images: There was also a 10 cm x 4 cm left hemidiaphragmatic defect with medial extension resulting in a 4 cm x 2 cm pericardial sac defect (Figure 2).
case_images: The yellow arrow indicates the transverse colon, and DPHR indicates the diaphragm.
case_images: fsurg-11-1369255-g003.jpg
case_images: PMC11288843_01_fsurg-11-1369255-g003.jpg
case_images: F3
case_images: The transverse colon and proximal part of the small bowel herniated into the pleural cavity through the left hemi diaphragmatic defect with a contusion of the transverse colon at the level of the defect (Figure 3).
case_images: An AP chest x-ray taken 48 h postoperation prior to the removal of the chest tube.
case_images: fsurg-11-1369255-g004.jpg
case_images: PMC11288843_01_fsurg-11-1369255-g004.jpg
case_images: F4
case_images: A chest tube was kept in place for 48 h and removed after the evaluation of a control chest x-ray (Figure 4).