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Radiograph demonstrates bowel containing contrast within the chest, within the pleural cavity consistent with a pleuroperitoneal hernia.

Pleuroperitoneal hernias typically occur posteriorly and are a result of a posteriorly located defect when there is a failure in closing the pleuroperitoneal membrane closure while in utero. Bowel, retroperitoneal structures may prolapse through the defect into the pleural space.

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Image IQ Quiz: What Do You See on This Bowel X-ray?