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Diaphragmatic rupture following blunt or penetrating thoraco-abdominal trauma is frequently missed. It presents years later with herniation of abdominal viscera. Surgical treatment should be sought for when diagnosed.A 56 year old female presented to emergency with traumatic right diaphragmatic hernia, road traffic accident 8 years agowhen she sustained multiple rib fractures on the right side. Upon diagnosis,successful primary hernia repair was performed. Non-specific clinical and radiological features of diaphragmatic hernia (diminished breath sounds, respiratory distress, orthopnoea, dyspnoea, hydro-pneumothorax, and mediastinal shift and lung collapse) lead to delayed or missed diagnosis. Patients present months to years later with complications. By including it in the differentials while managing a trauma patient along with collaboration of the radiology department, the chances of missing this finding would be lowered substantially
Dr. Qurrat Al Ain Atif,, Tanwir Khaliq. (2016) TRAUMATIC RIGHT DIAPHRAGMATIC HERNIA; A DELAYED PRESENTATION, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 28, Issue 3.
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