Close
There is a large central diaphragmatic defect with intrathoracic herniation of stomach, splenic flexure, small bowel, vast amounts of the mesentery, and corporeocaudal segment of the pancreas. The stomach shows an "upside-down" configuration with the antrum and pylorus superior to the fundus and proximal body which may indicate a mesentero-axial volvulus. The heart and mediastinal structures are displaced to the right.