Intestinal obstruction due to diaphragmatic hernia

Case contributed by David Cuete
Diagnosis certain

Presentation

Abdominal pain. History of diaphragmatic hernia surgery performed years ago for trauma.

Patient Data

Age: 45 years

A large left hemidiphragm defect, with abdominal contents including the stomach and small bowel loops almost filling up the left hemithorax with resultant medisatinal shift to the right. In addition, there are small bowel loops herniating through the intercostal spaces causing intestinal obstruction. 

Case Discussion

This case shows an intestinal obstruction due to a large left diaphragmatic hernia.

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