Post Traumatic Diaphragmatic Hernia Diagnosed after 2 Years by a Complication of Intestinal Strangulation within the Chest

Mounir Bouali

CHU, Ibn Rochd, Morocco.

Kenza Benjelloun Touimi *

CHU, Ibn Rochd, Morocco.

Abdelilah El Bakouri

CHU, Ibn Rochd, Morocco.

Khalid El Hattabi

CHU, Ibn Rochd, Morocco.

Fatim-Zahra Bensardi

CHU, Ibn Rochd, Morocco.

Abdelaziz Fadil

CHU, Ibn Rochd, Morocco.

*Author to whom correspondence should be addressed.


Diaphragmatic rupture is a rare pathology that reported in less than 0.5% of all trauma cases, with signs and symptoms that can easily be misdiagnosed. Clinicians must maintain a high index of suspicion to correctly manage this pathology. We present a case of diaphragmatic hernia that was misdiagnosed until it became strangulated. The time between trauma and occlusive syndrome was 2 years. The patient had symptoms of intestinal obstruction. The CT scann showed colonic left diaphragmatic hernia with a large bowel obstruction.The surgery confirmed the complication of intestinal strangulation within the chest.

Keywords: Post traumatic diaphragmatic hernia, intestinal strangulation

How to Cite

Bouali, M., Touimi, K. B., Bakouri, A. E., Hattabi, K. E., Bensardi, F.-Z., & Fadil, A. (2024). Post Traumatic Diaphragmatic Hernia Diagnosed after 2 Years by a Complication of Intestinal Strangulation within the Chest. Asian Journal of Research and Reports in Gastroenterology, 7(1), 91–95. Retrieved from


Download data is not yet available.


Shabhay A, Horumpende P, Shabhay Z, Van Baal SG, Lazaro E, Chilonga K. Surgical approach in management of posttraumatic diaphragmatic hernia: thoracotomy versus laparotomy. Case Reports in Surgery. 2020;2020.

Lu J, Wang B, Che X, Li X, Qiu G, He S, Fan L. Delayed traumatic diaphragmatic hernia: A case-series report and literature review. Medicine. 2016;95(32).

Morgan BS, Watcyn-Jones T, Garner JP. Traumatic diaphragmatic injury. BMJ Military Health. 2010;156(3):139.

Slim K. [Ruptures and injuries to the diaphragm]. J Chir (Paris). 1999;136(2): 67‑75.

Jarry J, Razafindratsira T, Lepront D, Pallas G, Eggenspieler P, Dastes FD. A rare complication of traumatic diaphragmatic hernias: stercoral pleurisy. Annals of Surgery. 2006;131(1):48‑50.

Pantelis D, Burger C, Hirner A, Wolff M. Indirect traumatic diaphragm rupture: mechanism of accident and diagnosis. Chirurg. avr 2006;77(4):360‑6.

4. Gaine FA, Lone GN, Chowdhary MA, Lone H. The etiology, associated injuries and clinical presentation of post traumatic diaphragmatic hernia. Bull Emerg Trauma. 2013;1(2):76‑80.

Adams DH. Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. Gut. 2007;56(8):1175‑1175.

Makar AB, McMartin KE, Palese M, Tephly TR. Formate assay in body fluids: Application in methanol poisoning. Biochem Med. 1975;13(2):117‑26.

Gu P, Lu Y, Li X, Lin X. Acute and chronic traumatic diaphragmatic hernia: 10 years’ experience. Maerz LL, éditeur. PLoS ONE. 2019;14(12):e0226364.

Dwari AK, Mandal A, Das SK, Sarkar S. Delayed presentation of traumatic diaphragmatic rupture with herniation of the left kidney and bowel loops. Case Reports in Pulmonology. 2013;2013: 1‑4.

Chughtai T, Ali S, Sharkey P, Lins M, Rizoli S. Update on managing diaphragmatic rupture in blunt trauma: A review of 208 consecutive cases. Can J Surg. 2009;52(3):177‑81.

Mahmoud AF, Eldin Raeia MM, Abo Elmakarem MA. Rupture diaphragm: Early diagnosis and management. Journal of the Egyptian Society of Cardio-Thoracic Surgery. 2017;25(2):163‑70.

Okan I, Bas G, Ziyade S, Alimoglu O, Eryilmaz R, Guzey D, et al. Delayed presentation of posttraumatic diaphragmatic hernia. Ulus Travma Acil Cerrahi Derg. 2011;17(5):435‑9.

Silva GP, Cataneo DC, Cataneo AJM. Thoracotomy compared to laparotomy in the traumatic diaphragmatic hernia. Systematic review and proportional methanalysis. Acta Cir Bras. 2018;33(1): 49‑66.

Kahwa AA. Blunt Diaphragmatic Rupture a Case Report and Literature Review. Emerg Med (Los Angel) [Internet]. 2016;6(4). [Access on 10 Feb 2023]. Available:

Peer SM, Devaraddeppa PM, Buggi S. Traumatic diaphragmatic hernia-our experience. International Journal of Surgery. 2009;7(6):547‑9.