EURORAD ESR

Case 1728

Type IV diaphragmatic diatal dernia

Author(s)
M. Palmers, P. Peene, T. Delva
 
Patient
male, 84 year(s)
 
 
  • Figure 1
    Conventional radiography of the chest

    Conventional radiography of the chest (PA-view) shows a voluminous air containing cavity, in retrocardiac location.

     
    Area of Interest: unknown; Imaging Technique: Conventional radiography of the chest;
     
     
  • Figure 2
    CT scan of the thorax

    CT scan of the thorax demonstrates a large retrocardiac herniation of the stomach; the air containing organ has a smooth mucosal pattern. On the left of the stomach there is a second air organ with peripheral...

     
    Area of Interest: unknown; Imaging Technique: CT scan of the thorax;
     
     
  • Figure 3
    Contrast radiography

    On contrast radiography of the upper gastrointestinal tract with Gastrografin® (fig. 3), the esophagogastric junction and the stomach are located intrathoracically, in the posterior mediastinum.

     
    Area of Interest: unknown; Imaging Technique: Contrast radiography;
     
     
  • Figure 4
    Contrast radiography

    Retrograde opacification of the colon with Gastrografin® shows opacification of a partially intrathoracically located transverse colon.

     
    Area of Interest: unknown; Imaging Technique: Contrast radiography;
     
     
Conventional radiography of the chest (PA-view) shows a voluminous air containing cavity, in retrocardiac location.
 
CT scan of the thorax demonstrates a large retrocardiac herniation of the stomach; the air containing organ has a smooth mucosal pattern. On the left of the stomach there is a second air organ with peripheral haustrations corresponding to the transverse colon.
 
On contrast radiography of the upper gastrointestinal tract with Gastrografin® (fig. 3), the esophagogastric junction and the stomach are located intrathoracically, in the posterior mediastinum.
 
Retrograde opacification of the colon with Gastrografin® shows opacification of a partially intrathoracically located transverse colon.
 
 
 
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