# Laparoscopic Repair of Traumatic Diaphragmatic Hernia Secondary to Gunshot Wound

## TL;DR

A man with a history of a gunshot wound developed a complex diaphragmatic hernia 12 years later, successfully treated with laparoscopic surgery.

## Contribution

Highlights the effectiveness of laparoscopic repair for traumatic diaphragmatic hernias and the importance of early detection and follow-up.

## Key findings

- Laparoscopic management successfully treated a complex traumatic diaphragmatic hernia.
- Early detection and regular follow-ups are crucial to prevent complications in trauma patients.
- Diagnostic challenges exist in traumatic diaphragmatic hernias during the latent phase.

## Abstract

This report presents the case of a 40-year-old man with a history of emergency surgery due to a gunshot wound. Twelve years later, he presented with persistent symptoms, including epigastric pain, pyrosis, and dysphagia. Diagnostic studies reveal a complex paraesophageal and paracardial diaphragmatic hernia. Traumatic diaphragmatic hernias (TDHs) present diagnostic challenges, particularly during the latent phase, with symptoms ranging from gastrointestinal to respiratory. A comprehensive evaluation and correct diagnosis are required, including diagnostic modalities such as CT scans, upper endoscopy, and esophagogastroduodenal transit. Surgical approaches, whether laparoscopic or thoracoscopic, are chosen based on individual preference for adhesions. The report highlights the success of laparoscopic management, emphasizing early detection to prevent complications during both latent and obstructive phases of TDH. Additionally, it emphasizes the necessity of regular follow-ups for trauma patients.