Tension Doesn't Always Come Alone-- A Case of Tension Pneumothorax With Traumatic Diaphragmatic Hernia Immediately After Blunt Trauma to the Chest.

Tension pneumothorax (TP) and diaphragmatic hernia (DH) might present with similar symptoms, increasing the probability of missing an underlying diaphragmatic hernia in cases of coexistence. There are a few case reports of DH with tension viscerothorax or fecopneumothorax, but all those had a delayed presentation. However, there is no case report on TP and DH presenting together immediately after trauma. We present a case of coexistence of TP and DH immediately after blunt chest trauma, where ultrasound helped in the identification and management of this life-threatening condition.