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Figure 1: (a) Computerized tomography coronal: Type IV paraesophageal hernia with stomach and pancreatic body into the left hemithorax plus the left epiphrenic diverticulum with an air-fluid level (arrow), (b) computerized tomography sagittal: Notice the splenic artery ascending to the left hemithorax along with the pancreatic body, (c) computerized tomography coronal: diverticulum still present post hernia repair (arrow), (d) same computerized tomography sagittal

Figure 1: (a) Computerized tomography coronal: Type IV paraesophageal hernia with stomach and pancreatic body into the left hemithorax plus the left epiphrenic diverticulum with an air-fluid level (arrow), (b) computerized tomography sagittal: Notice the splenic artery ascending to the left hemithorax along with the pancreatic body, (c) computerized tomography coronal: diverticulum still present post hernia repair (arrow), (d) same computerized tomography sagittal