Diaphragmatic hernia - traumatic

Discussion:

Traumatic herniation of abdominal contents through a tear or rupture of the central or posterior aspect of the hemidiaphragm may follow blunt thoracoabdominal trauma.  The left side is more commonly affected.  The diagnosis should be suspected when the left hemidiaphragmatic contour is indistinct or when gas-filled stomach or bowel loops are seen in the left hemithorax following trauma.

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