CTICasesDiaphragmatic Hernia Post-Aneurysm Repair
Imaging findings
Chest radiograph and CT show a large air-fluid containing structure in the left lower hemithorax. CT confirms herniation of the stomach, transverse colon, and spleen through a large anterior diaphragmatic defect, arising after a thoracoabdominal aneurysm repair.
Key takeaways
Large diaphragmatic defects can occur following major thoracoabdominal aortic surgery where the diaphragm is surgically taken down and reconstructed, leading to delayed herniation of abdominal viscera.
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