Introduction: Post-traumatic diaphragmatic injury occurs in less than 1% of patients with thoracoabdominal trauma, especially after high-energy injuries, which can break or avulse the diaphragm of their insertions. The late manifestation of this type of injury can result in a hernia of the abdominal organs, a pathology that is associated with a high rate of morbidity and mortality.
Case report: We present the case of a 49-year-old male patient, who begins symptoms 5 days before admission, characterized by abdominal pain located in the epigastrium and right hypochondrium, absence of bowel movements, and vomiting; a chest X-ray was performed, showing the presence of colonic handles in the right pulmonary field; so it was necessary to perform laparoscopic cure of the diaphragmatic hernia, and later an exploratory laparotomy. Obtaining the postoperative finding of grade IV right diaphragmatic hernia.
Conclusion: A high suspicion rate is required to diagnose this entity; a late diagnosis is associated with greater morbidity and mortality; the ideal therapeutic approach will depend on the degree of injury and the experience of the surgeon.
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