Post Traumatic Diaphragmatic Hernia Diagnosed after 2 Years by a Complication of Intestinal Strangulation within the Chest

Diaphragmatic rupture is a rare pathology that reported in less than 0.5% of all trauma cases, with signs and symptoms that can easily be misdiagnosed. Clinicians must maintain a high index of suspicion to correctly manage this pathology. We present a case of diaphragmatic hernia that was misdiagnosed until it became strangulated. The time between trauma and occlusive syndrome was 2 years. The patient had symptoms of intestinal obstruction. The CT scann showed colonic left diaphragmatic hernia with a large bowel obstruction.The surgery confirmed the complication of intestinal strangulation within the chest.