Abstract
Objective: To report a case of post-traumatic diaphragmatic hernia of late diagnosis with discrete symptoms and to discuss the basis of current diagnostic and management of these. Case report: A 46-year-old female patient was admitted to the emergency department of the city of Manaus, complaining of mild dyspnea, left chest pain, and abdominal pain more localized in the left hypochondrium, worsening symptoms two days ago. history of blunt trauma. Computed tomography was performed for evaluation, with evidence of bulky hernia in the left hemithorax, which did not match the symptoms or the general condition of the patient. An exploratory laparotomy above and below the umbilicus medial incision was performed. A lesion of approximately 16 cm in diaphragm was found with surgical correction of the lesions in sequence. Final Considerations: Diaphragmatic lesions can be diagnosed immediately, months or years after the trauma. This report illustrates another rare case of poorly symptomatic traumatic diaphragmatic hernia in contrast to the large volume of intestinal loops in the thoracic cavity.