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Fig. 1 | Journal of Cardiothoracic Surgery

Fig. 1

From: Non traumatic acquired acute transdiaphragmatic intercostal hernia induced by coughing

Fig. 1

Chest X-ray and thoracoabdominal computed tomography (A, B and C) before surgery showing herniation of the lung and intra-abdominal organs into the thoracic and abdominal walls (black arrows) through the ruptured diaphragm (black arrowhead), as well as the intercostal and abdominal muscles (white arrowhead); the operative findings (D) demonstrating herniated intra-abdominal organs (black arrows) through the ruptured diaphragm (black arrowheads) and parietal pleura (white arrowheads); the thoracoabdominal computed tomography (E, F) after surgery revealing reduced herniation, an intact diaphragm, and repair of the left ninth intercostal space (white arrows)

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