case_images: PMC8052610_01
case_images: PMC8052610_02
case_images: coronary axis CT: the right chest cavity almost completely occupied by loops of the gastrointestinal tract and intrathoracic projection of the mesenteric vessels
case_images: PAMJ-38-150-g001.jpg
case_images: PMC8052610_02_PAMJ-38-150-g001.jpg
case_images: F1
case_images: From the first axial images the diagnosis was established (Figure 1).
case_images: after the induction of anesthesia the scaphoid abdomen of the patient is obvious (patient's genitalia are covered)
case_images: PAMJ-38-150-g002.jpg
case_images: PMC8052610_02_PAMJ-38-150-g002.jpg
case_images: F2
case_images: With a transverse incision in the right upper quadrant, we accessed the abdominal cavity and found a defect in the right diaphragm (Figure 2, Figure 3).
case_images: herniated intestinal loops
case_images: PAMJ-38-150-g003.jpg
case_images: PMC8052610_02_PAMJ-38-150-g003.jpg
case_images: F3
case_images: With a transverse incision in the right upper quadrant, we accessed the abdominal cavity and found a defect in the right diaphragm (Figure 2, Figure 3).
case_images: restoration of the diaphragmatic defect according to the Mayo technique; insertion of a chest tube through the sixth intercostal space
case_images: PAMJ-38-150-g004.jpg
case_images: PMC8052610_02_PAMJ-38-150-g004.jpg
case_images: F4
case_images: We then closed the defect of the diaphragm according to the Mayo technique and reassessed the retracted bowel which seemed to be normal (Figure 4).