Diaphragmatic hernia

Case contributed by Dr Mostafa El-Feky


Loss of weight and dyspnea.

Patient Data

Age: 45 years
Gender: Female

Chest and upper abdomen

A large left diaphragmatic hernia is seen. The diaphragmatic defect measuring 6 x 8 cm. It is seen admitting the whole stomach, small bowel loops and the transverse colon as well as the distal aspect of the superior mesenteric artery and its branches. The body, tail of pancreas and the splenic vessels are also seen herniating into the thorax. Its head and uncinate process as well as the C-loop of the duodenum are seen at the upper abdomen immediately below the diaphragm.

Diminished volume of the left hemithorax with atelectasis at the lingular segments of the upper lobe. Mediastinal shift to the right side ( heart and trachea).

Hepatosplenomegaly is also noted as well as minimal ascites.

Case Discussion

Diaphragmatic hernia can reach large size due to the negative intra-thoracic pressure, retroperitoneal or intra-abdominal organs and tissues can prolapse into the thoracic cavity. Its content depends on the location and size of the defect. 

PlayAdd to Share

Case information

rID: 53488
Published: 23rd May 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.