Acute abdomen alter a postraumatic diaphragmatic hernia.

Diaphragmatic post-traumatic hernia is a dilaceration of the diaphragm. Usually it is consequence of a penetrating or not trauma of thoracic or abdominal cavity. In 5% of the severe thoracoabdominal trauma presents a diaphragm rupture (1). 45-60% of these have a herniation of abdominal organs into the thoracic cavity, overall, colon, stomach, small intestine, spleen, etc. (2). Clinic presentation could be immediately, early or late (3,4). Respiratory and abdominal signs and symptoms are varied: abdominal pain, abdominal distension, nausea, vomits, dyspnea, etc. In 90 % of the cases, the diaphragmatic rupture is in the left side of the diaphragm. Possibly, this is because liver acts like a shock absorber on the right side of the diaphragm (1).