case_images: PMC2239218_01
case_images: Upper gastrointestinal endoscopy: inversion view into the gastric fundus.
case_images: DTE2008-257185.001.jpg
case_images: PMC2239218_01_DTE2008-257185.001.jpg
case_images: fig1
case_images: Whereas the oesophagus, the lower stomach, and the duodenum were without abnormalities, a small hole in the fundus was visible after inversion of the scope (Figure 1).
case_images: Fluoroscopy after contrast dye application via the "hole in the stomach" revealed a large intrathoracal herniation of the gastric fundus.
case_images: DTE2008-257185.002.jpg
case_images: PMC2239218_01_DTE2008-257185.002.jpg
case_images: fig2
case_images: Fluoroscopy revealed a diaphragmatic hernia with a large herniation of the gastric fundus (Figure 2).
case_images: Orifice of the left part of the diaphragm (arrow).
case_images: DTE2008-257185.003.jpg
case_images: PMC2239218_01_DTE2008-257185.003.jpg
case_images: fig3
case_images: Immediate laparotomy showed a 3 cm orifice of the diaphragm (Figure 3).
case_images: Partial necrosis of the incarcerated fundus (arrow).
case_images: DTE2008-257185.004.jpg
case_images: PMC2239218_01_DTE2008-257185.004.jpg
case_images: fig4
case_images: The orifice was widened and a partial necrosis of the incarcerated fundus was resected (Figure 4).