Fig. 1

Imaging scan of Case 1. A, B A plain CT scan of the chest indicated a blurred mediastinal space with effusion (blue arrow), gastric hernia in the thoracic cavity (yellow arrow), and mediastinal gas and effusion/hemorrhage, and left diaphragmatic hernia was considered. C, D Vascular CTA indicated a possibility of dissection of the descending aorta (red arrow, C), and femoral artery stent implantation with a thin mesh was performed (purple arrow, D)