Abstract
We repont four cases of traumatic diaphragmatic hernia. All were male, and their ages ranged from 18 to 38 years. The hernias were caused by blunt trauma in three cases and penetrated wound in one. The chief complaints were dyspinea and left chest pain. The correct diagnosis was made by chest X-ray film and roentgenographic examination of the digestive tract. The rupture occurred on the left side in all cases, and the size of the defect was from 10 to 25cm. Ruptured diaphragms were closed by direct sutures through laparotomy in two cases, thoracotomy in one case, and thoracoabdominal approach in one. The contents of the hernia were the stomach, spleen, colon, small bowel and omentum. Accompanying the injury were the stomach perforation, kidney rupture and transverse colon perforation. The prognosis seems to depend on these complicated traumas.
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