BACKGROUND Diaphragmatic rupture due to blunt or penetrating injury may be a missed diagnosis in an acute setting and can present with a delayed complication with significantly increased morbidity and mortality. OBJECTIVES The objective of this study is to better understand why diaphragmatic tears with delayed presentation and diagnosis are so often missed and why traumatic diaphragmatic tear...

Tension pneumoperitoneum is commonly caused by gastrointestinal perforation and pulmonary causes are extremely rare. We present a case of a 47-year-old male post motor vehicle accident with a suspected left-sided haemopneumothorax on initial chest x-ray. CT of the chest post chest tube insertion showed a left-sided diaphragmatic rupture and an extensive diaphragmatic hernia. While en-route to t...

BACKGROUND Congenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17-6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical...

Atypical hernias encompass the categories of flank, lumbar, spigelian, suprapubic and subxiphoid among other rarer variants. These are considered to be tribulation in terms their diagnosis management, that they proximity bone, which makes defect delineation, adequate mesh overlap, fixation very challenging. Here, we would like highlight a selection our institutional experience with such managem...

result in colonic perforation during colo− noscopy, they are always associated with pneumothorax and are always fatal [1, 2]. We report a case of colonoscopy−induced tension pneumothorax due to an undiag− nosed diaphragmatic hernia without co− lonic perforation. A 46−year−old man with no history of thoracoabdominal trauma underwent co− lonoscopy for rectal bleeding. Colono− scopic progress thou...