Reawakening of a dormant diaphragmatic hernia: a case of delayed post-traumatic presentation

Abstract Traumatic diaphragmatic hernia (TDH) is a rare condition, especially on the right side, often lacking specific symptoms and sometimes manifesting years after the initial trauma. This case report highlights the importance of thorough history-taking, physical examination, and radiological imaging in the diagnosis and treatment of TDH. A 41-year-old male presented with recurrent epigastric pain and respiratory problems, initially treated for gastritis without relief. Further investigation revealed a large right-sided diaphragmatic hernia linked to a prior trauma. The patient underwent successful laparoscopic repair via an abdominal approach, with the defect closed using sutures and polytetrafluoroethylene mesh. Identifying delayed TDH is challenging, but a comprehensive diagnostic evaluation can ensure timely diagnosis and effective treatment, helping to prevent serious complications.