CTICasesTraumatic Diaphragmatic Hernia
Imaging findings
Chest CT shows an atypical fat collection in the right lower hemithorax. Sagittal reformats demonstrate a focal, anterior-lateral defect in the right hemidiaphragm with herniation of omental/mesenteric fat, arising from a remote history of chest trauma.
Key takeaways
Diaphragmatic defects in atypical locations (too anterior for Bochdalek, too lateral for Morgagni) should raise suspicion for traumatic rupture. These hernias are prone to incarceration and contain omentum or bowel.
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