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Incarcerated Traumatic Diaphragmatic Hernia

Imaging findings

Small bowel loops within the left hemithorax with mesenteric stranding, indicating incarceration. Retrospective review showed a small diaphragmatic tear four years prior following a motor vehicle crash.

Key takeaways

Chronic, latent presentation of traumatic diaphragmatic hernias is possible; serial imaging and surgical correction are vital if bowel herniation is suspected.

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