Presentation
Previous history of the left upper quadrant penetrating trauma
Patient Data
Age: 50 years
Gender: Male
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The margin of the left diaphragm is not visualized. There are also left lung base collapse and an air-fluid level.
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Barium study shows intra thoracic herniation of the stomach through a left diaphragmatic defect with an hourglass sign.
Case Discussion
Features consistent with left diaphragmatic rupture with partially gastric herniation.