Wednesday, 6 June 2012

Right Diaphragmatic Hernia






A case of a 14 year old boy who had a history of previous congenital hernia repair.


Presented with recurrent diaphragmatic hernia.


Note the herniation of the liver, hepatic flexure and loops of small bowel ( grey solid arrow) into the right lower lung-thus collapsing the right lower lobe .


On the sagittal images note the stretched mesentery and mesenteric vessels across the anterior surface of the liver (yellow pentagon).


Diagnosis: Recurrent diaphragmatic hernia



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