Bridging the gap: a robotic approach to the repair of a traumatic diaphragmatic intercostal hernia

A CT scan of the abdomen and pelvis with intravenous contrast revealed a large left-sided intercostal hernia between the 9th and 10th ribs containing fat and loops of small bowel, some of which contained air-fluid levels suspicious for a developing partial small bowel obstruction (figure 1). Coronal slices of admission CT of the abdomen/pelvis with intravenous contrast demonstrating an intercostal hernia in the ninth intercostal space containing small bowel. On hospital day 1, a small bowel follow-through study was performed which was notable for contrast progression into the patient’s colon.