Delayed Presentation of Traumatic Diaphragmatic Hernia Complicated by Gangrene: A Case Report and Review of Literature

Blunt trauma to the abdomen can lead to various injuries, including diaphragmatic ruptures.Late presentation of traumatic diaphragmatic hernia is unlikely and can cause abdominal visceral perforation or gangrene.A young female presented to the emergency department with a history of blunt trauma to the chest 3 years ago, though no hospital admission was reported.Intraoperative findings showed proximal two-thirds of the body of the stomach (60%) and omentum herniated through a 10 7 cm rent in the left diaphragm into the thoracic cavity.The herniated part of the stomach was gangrenous.She underwent partial gastrectomy, Roux-en-Y gastrojejunostomy, and enteroenterostomy.The left tube thoracostomy was done and diaphragmatic rent was repaired with prolene 1 in a continuous manner.The surgical management of delayed traumatic diaphragmatic hernia involves the reduction of the herniated part and the repair of the defect.The preferred surgical access may differ between authors and other dedicated centres.