case_images: PMC10810731_01
case_images: Chest computed tomography showing that the liver had prolapsed into the thoracic cavity. (A) Coronal view. (B) Sagittal view. The arrowhead indicates the edge of the torn diaphragm, including the torn staple line.
case_images: rjae005f1.jpg
case_images: PMC10810731_01_rjae005f1.jpg
case_images: f1
case_images: Chest CT revealed a large diaphragmatic defect (arrowhead) and prolapse of the liver into the thoracic cavity (Fig. 1).
case_images: Surgical view showing the large diaphragmatic defect of 15 cm (arrowhead).
case_images: rjae005f2.jpg
case_images: PMC10810731_01_rjae005f2.jpg
case_images: f2
case_images: The surgical view of the thoracic cavity showed that the liver had prolapsed from the large diaphragmatic defect, which measured 15 cm (Fig. 2).
case_images: Postoperative chest computed tomography showing the reconstructed diaphragm using a second polytetrafluoroethylene (PTFE) patch above the original placement, overlaying the diaphragmatic defect that had been closed by the first PTFE patch (arrow). The second PTFE patch was fixed to the lower ribs (arrowhead).
case_images: rjae005f3.jpg
case_images: PMC10810731_01_rjae005f3.jpg
case_images: f3
case_images: Moreover, the diaphragm was reconstructed using a second 1 mm thick PTFE patch above the original placement, overlaying the diaphragmatic defect that had been closed by the first PTFE patch (Fig. 3, arrow). The second PTFE patch was fixed to the lower ribs by non-absorbable suture (Fig. 3, arrowhead). Postoperative chest computed tomography revealed PTFE patch maintained a good position (Fig. 3).