ABSTRACT

Diaphragmatic hernias resulting from ruptured diaphragms have peculiar presentations, therefore making for interesting cases. Under the influence of a blunt force, the diaphragm may rupture causing little to no symptoms. Pain, inflammation, and ventilatory mechanics can also remain nearly unimpeded. In the absence of symptoms, some can go undiagnosed, allowing the viscus to herniate upward on its own accord. When herniation is gradual adaptation, this further hinders any development of symptoms. We present a patient who was involved in a motor vehicle accident, where he was stable with unremarkable radiological imaging. Two months later, the large hernia was appreciated and repaired.