Chronic diaphragmatic hernia with gastric strangulation

Abstract

Traumatic diaphragm injuries are consequence of severe trauma, blunt trauma. Its incidence has increased due to the growth in number and severity of accidents, especially traffic accidents. Its diagnosis continues to be a challenge for surgeons and radiologists, being diagnosed late in up to more than half of the cases, leaving a latent diaphragmatic hernia, which can manifest itself with symptoms that vary from nonspecific to strangulation of an intestinal loop. The case of a male patient with upper intestinal obstruction secondary to a chronic traumatic diaphragmatic hernia strangulated is presented, with a history of penetrating thoracoabdominal trauma that occurred three years earlier.