case_images: PMC5437542_01
case_images: a CT scan shows collapse of the lung and the mediastinal shift towards to the right side. The left diaphragmatic hernia contained the transverse and descending colon. b Intraoperative evidence: diaphragmatic defect allows migration of viscera
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case_images: PMC5437542_01_13017_2017_134_Fig1_HTML.jpg
case_images: Fig1
case_images: The left diaphragmatic hernia contained the transverse and descending colon (Fig. 1a). An intra-operative bronchoscopy revealed hypoplasia of the left lung (Fig. 1b).
case_images: PMC5437542_02
case_images: CT scan shows in left side, large diaphragmatic defect which allows passage of the stomach, spleen and colon (referred to as Bochdalek hernias) and complete collapse of left lung
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case_images: Fig2
case_images: CT scan showed large annular diaphragmatic defect which allowed passage of the stomach, spleen and colon (Fig. 2).
case_images: PMC5437542_03
case_images: Laparoscopic image during correction of defect with synthetic mesh
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case_images: Fig3
case_images: Emergency laparoscopy was performed; hernia contents were reduced; and a repair of the defect with Proceed mesh  was done (Fig. 3).
case_images: PMC5437542_04
case_images: a CT scan suggests left diaphragmatic hernia which allowed migration of colon in left chest. b Intraoperatively, biological mesh repairing defect
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case_images: Fig4
case_images: CT scan suggested left diaphragmatic hernia which allowed passage of the spleen, left lobe of liver and transverse colon (Fig. 4a).
case_images: PMC5437542_05
case_images: a 3D-CT scan shows rib fractures. b CT scan shows stomach and spleen in the left hemi-thorax, complete disruption of all muscular layers. c Intraoperatively, repair of traumatic defect in the left diaphragm
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case_images: Fig5
case_images: CT scan revealed stomach and spleen in left hemithorax, consistent with a traumatic diaphragmatic rupture with complete disruption of all muscular layers, collar sign and multiple rib fractures, fractured left humerus and scapula (Fig. 5a, b). At exploratory laparotomy, traumatic defect in the left diaphragm was found, with stomach and spleen in the left thorax (Fig. 5c).
case_images: PMC5437542_06
case_images: a X-ray shows herniated stomach into the chest. b Thoracotomy shows large diaphragmatic defect. c Repair of defect
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case_images: PMC5437542_06_13017_2017_134_Fig6_HTML.jpg
case_images: Fig6
case_images: The chest X-ray showed a large fluid level beneath an apparently raised left hemi diaphragm (Fig. 6a) hypothesizing a left hemi diaphragmatic rupture with gastric herniation; diagnosis was confirmed by barium studies and a thoracic-abdominal computed tomography. Finally, a direct suture of the left diaphragmatic defect was employed (Fig. 6b, c).
case_images: PMC5437542_07
case_images: Flow chart of the literature selection process
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case_images: PMC5437542_07_13017_2017_134_Fig7_HTML.jpg
case_images: Fig7
case_images: The search returned 555 papers (Fig. 7).