case_images: PMC4955490_01
case_images: Standing antero posterior thoracic-abdominal X-ray
case_images: AJPS-12-79-g001.jpg
case_images: PMC4955490_01_AJPS-12-79-g001.jpg
case_images: F1
case_images: The standing antero posterior (AP) thoracic-abdominal X-ray [Figure 1] performed in the Emergency Department showed a diffuse opacity in the thorax with a central air-fluid level in the left hemithorax displacing the mediastinum on the right, fading of the left diaphragmatic cupola and significant colonic air-fluid levels in the abdomen.
case_images: Postero lateral hernia with incarceration of the transverse colon in the diaphragmatic defect
case_images: AJPS-12-79-g002.jpg
case_images: PMC4955490_01_AJPS-12-79-g002.jpg
case_images: F2
case_images: Exploration of the peritoneal cavity noted incarceration of the transverse colon in a defect measuring approximately 2 cm [Figure 2] in the posterolateral part of the left diaphragmatic cupola.
case_images: Start of hernia reduction: Necrotic bowel after sectioning of the neck of the hernia
case_images: AJPS-12-79-g003.jpg
case_images: PMC4955490_01_AJPS-12-79-g003.jpg
case_images: F3
case_images: After sectioning the neck of the hernia, the incarcerated intestine was reduced [Figure 3].
case_images: End of intestinal reduction
case_images: AJPS-12-79-g004.jpg
case_images: PMC4955490_01_AJPS-12-79-g004.jpg
case_images: F4
case_images: There was necrosis over 4 cm of the bowel [Figure 4].