ABSTRACT:

Traumatic diaphragmatic rupture (TDR) is a rare but critical injury commonly resulting from high-velocity blunt or penetrating trauma. It often leads to abdominal organ herniation into the chest cavity, making timely diagnosis crucial for optimal management. Despite its potential severity, TDR remains frequently underdiagnosed, often due to the lack of specific early symptoms or delayed detection. This article presents a case of left diaphragmatic rupture in a 39-year-old male following blunt trauma from a motor vehicle accident, with associated abdominal organ herniation. We discuss the pathophysiology, diagnostic challenges, and treatment modalities for TDR, including surgical intervention, postoperative management, and potential complications. Early identification and surgical repair are essential to reducing morbidity and mortality associated with diaphragmatic ruptures, especially in polytrauma patients. The need for high clinical suspicion and prompt radiological investigations, including chest X-ray and CT scans, is emphasized. Despite successful initial repair and management, the patient ultimately succumbed to complications, highlighting the complex nature of multi-trauma cases.

KEYWORDS :

Traumatic diaphragmatic rupture, abdominal organ herniation, blunt trauma, multi-trauma, emergency care.

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