Traumatic Left Hemi-Diaphragmatic Rupture with Intra-Thoracic Herniation of Abdominal Viscera with Iatrogenic Gastric Perforation – A Case Report

Acute diaphragmatic injury (DI) is reported in less than 10% of all the patients with penetrating trauma to lower chest. Rupture of the diaphragm mostly occurs following major trauma (blunt or penetrating) or iatrogenic injury, the latter being infrequently diagnosed earlier. The presentation often masquerades as haemothorax and is misguiding and can lead to disastrous complications unless the surgeon has high index of suspicion.