TRAUMATIC DIAPHRAGMATIC HERNIA OF THE CHILDREN

Patients who have diafragmatic herniation are admitted to hospitals with very different clinical findings. Diafragmatic herniation is one of the high risk surgical groups of thoracic trauma. This pathology can be diagnosed in immediate posttraumatic period as well as years later. Having high risk complications, they must be operated when diagnosed. Here we present a case of 14 year old boy, who had fallen from high 9 years ago. He had been hospitilised but no pathology had been found. 9 years later he was admitted to our hospital with the diagnose of pleural effusion. Thoracentesis revealed no effusion and the spleen was noticed in the thoracic ultrasonographic examination. After-the diagnosis was established the patient was operated. The patient was discharged without complication. Patients who have abnormal chest X-ray findings and have old thoracic trauma history should awake surgeons against traumatic diafragmatic herniation.