Pneumothorax due to delayed rupture of traumatic trans-diaphragmatic gastric hernia

Abstract

Senertus in 1541 was the first to describe traumatic diaphragmatic rupture with herniated stomach in a man who died 7 months after a stab wound injury [ 11. In previous centuries, penetrating trauma was the major cause of traumatic rupture of the diaphragm, but in the 20th century, with the increasing number of motor vehicle accidents, blunt abdominal and thoracic trauma is the major cause of laceration of the diaphragm. Compound injury to the abdominal organs (spleen, liver, mesentery, bowel, etc.), the ribs, small pelvis and extremities may dominate the clinical picture, leading to a delay in the diagnosis of diaphragmatic hernia.