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Diaphragmatic hernia

Case contributed by Bruno Di Muzio
Diagnosis probable

Presentation

Chest pain.

Patient Data

Age: 75 years
Gender: Female

Chest radiographs

x-ray

Bowel loops are seen projected anteriorly within the mediastinum. The location and features are not those of a hiatus hernia and anterior acquired diaphragmatic hernia should be considered. 

Case Discussion

This case illustrates a probable acquired anterior diaphragmatic hernia. Depending on the location and size of the defect, retroperitoneal or intra-abdominal organs may prolapse into the thoracic cavity.

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