case_images: PMC10906332_01
case_images: Prior chest CT illustrating the complete intrathoracic herniation of the stomach, with the fundus (F) located above the antrum (A).
case_images: jbsr-108-1-3448-g1.jpg
case_images: PMC10906332_01_jbsr-108-1-3448-g1.jpg
case_images: F1
case_images: She had a history of complete intrathoracic herniation of the stomach (Figure 1).
case_images: Follow-up chest radiograph showing gastric pneumatosis as a linear lucency outlining the circumference of the intrathoracic stomach (arrow).
case_images: jbsr-108-1-3448-g2.jpg
case_images: PMC10906332_01_jbsr-108-1-3448-g2.jpg
case_images: F2
case_images: On a follow-up chest radiograph, linear lucencies outlining the circumference of the intrathoracic stomach appeared (Figure 2).
case_images: (A) Coronal reconstruction of the CT scan illustrating the probable mechanism of gastric fundus redescent in the intrathoracic herniated stomach: Migration of the fundus (F) through the hernial ring results in constriction and fundal dilatation, leading to crowding of the hernial orifice and strangulation. The gastric antrum (A) is still situated intrathoracically. (B) The presence of gastric pneumatosis is apparent in this ischemic context (arrow). The dilated stomach caused compression of the heart and lung parenchyma.
case_images: jbsr-108-1-3448-g3.jpg
case_images: PMC10906332_01_jbsr-108-1-3448-g3.jpg
case_images: F3
case_images: The gastric fundus had redescended into the abdomen and appeared grossly dilated, with prominent intramural gas (Figure 3).