EURORAD ESR

Case 8961

Late onset left diaphragmatic hernia

Author(s)
Noguera JJ1, Gomez-Ayechu M2, Larrosa R1, Martin-Cuartero J1.
From the Departments of Radiology1 and Anesthesia2.
Hospital Reina Sofía, Tudela - SPAIN.
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Chest radiograph
     

    Chest radiograph. Left lower lobe is occupied by a heterogeneous density. Note mediastinum is slightly displaced towards the right side.

     

    In lateral projection normal right diaphragm is seen. In chest anterior region air inside some bowel loops (colon) is seen. This finding raised the suspicion of diaphragmatic hernia.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Special Focus: Hernia;
     
     
  • Figure 2
    Contrast enhanced MDCT
     

    Coronal reconstruction. Left pleural cavity is occupied by abdominal viscera. Note colon in apical pleural position. Left lower lobe atelectasis is also seen.

     
    Area of Interest: Colon; Gastrointestinal tract; Thorax; Imaging Technique: CT; Special Focus: Hernia;

    Sagittal rexonstruction. Left hemithorax is occupied by abdominal viscera. Note colon in apical pleural position. Diaphragmatic defect is also seen. Spleen and left kidney are infradiaphragmatic.

     
    Area of Interest: Colon; Gastrointestinal tract; Thorax; Imaging Technique: CT; Special Focus: Hernia;
     
     
  • Figure 3
    Volume Rendered CT reformation

    Volume rendering reformation from CT images. Relationship between colon and left atelectatic lobe is best depicted.

     
    Area of Interest: Colon; Lung; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Atelectasis; Hernia;
     
     
Chest radiograph. Left lower lobe is occupied by a heterogeneous density. Note mediastinum is slightly displaced towards the right side.
 
In lateral projection normal right diaphragm is seen. In chest anterior region air inside some bowel loops (colon) is seen. This finding raised the suspicion of diaphragmatic hernia.
 
Coronal reconstruction. Left pleural cavity is occupied by abdominal viscera. Note colon in apical pleural position. Left lower lobe atelectasis is also seen.
 
Sagittal rexonstruction. Left hemithorax is occupied by abdominal viscera. Note colon in apical pleural position. Diaphragmatic defect is also seen. Spleen and left kidney are infradiaphragmatic.
 
Volume rendering reformation from CT images. Relationship between colon and left atelectatic lobe is best depicted.
 
 
 
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