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case_images: (A and B) Coronal T2-weighted fast spin-echo MR images showing herniation of the stomach (arrowhead) and splenic flexure of the distal transverse colon(arrows) in the left intrathorax. (C) Transaxial magnetic resonance (MR) imaging showing severe anterior diaphragmatic hernia (arrow) of the spleen.
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case_images: Through the MRI reporting, the stomach and distal transverse colon had herniated in the left intrathorax (Figure 1). The gastroesophageal junction and the duodenal bulb were squeezing and stretching, and the spleen's anterior displacement was shown (Figure 1).
case_images: (A) Perioperative photograph showing a large defect in the left posterior dome of the diaphragm. (B) Postoperative photograph showing necrosis of the entire stomach.
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case_images: The left posterior diaphragm had a defect of more than 10cm (Figure 2). When the contents of the diaphragmatic hernia were moved manually into the abdomen, the stomach showed a totally ischaemic change with gangrene (Figure 2).
case_images: (A) Early postoperative coronal computed tomography (CT) scan after total gastrectomy and splenectomy due to incarcerated left diaphragmatic hernia. (B) After postoperative and delayed delivery, upper gastrointestinal (UGI) series with gastrografin swallow show no evidence of contrast leakage or passage disturbance at the anastomosis site.
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case_images: Apgar score was 6 at 1 min and 7 at 5 min after birth.) Two months later, the patient was discharged with a pigtail inserted in the left subphrenic space. Abdominal computerized tomography (CT) was performed and revealed a 6-cm width of complicated fluid collection on the day after the cesarean delivery (Figure 3). One year later, an outpatient abdominal CT showed no diaphragmatic hernia recurrence (Figure 3).