CTICasesLarge Acquired Diaphragmatic Hernia (Post-Traumatic Sequela)
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Imaging findings
Chest radiograph reveals a very large, smooth-margined hernia involving both hemithoraces, with bowel loops present in the chest. CT demonstrates a very large diaphragmatic defect, located slightly to the left of the midline, allowing for extensive herniation of bowel viscera into the lower chest.
Key takeaways
Very large diaphragmatic hernias, possibly sequelae of remote, unrecognized trauma, can be incidental findings. It is important to identify the defect location and rule out visceral compromise, though in this case, the patient was known to have this for a very long time without compromise.
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Related Trauma cases
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