Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury

Fecopneumothorax Secondary to a Late Traumatic Diaphragmatic Injury

Main Article Content

Gustavo Dragustinovis-Hinojosa
Jorge Aurelio Gutiérrez González
Dario Eduardo Medina Muñoz
Gerardo Enrique Muñoz Maldonado


Traumatic diaphragmatic hernias were first described by Ambroise Paré in 1579, who reported the case of an artillery captain, that presented an intestinal perforation that had caused a diaphragmatic hernia 1. The timely diagnosis of a traumatic diaphragmatic hernia can be a challenge , which requires extensive knowledge of the kinematics of trauma, as well as clinical and radiological evidence 2. We present the case of a 60-year-old male who presented blunt abdominal trauma due to a traffic accident, causing an undetected diaphragmatic hernia in his initial evaluation; months after de incident goes to the emergency room (ER) with hemodynamic instability and septic shock. A diagnosis of complicated diaphragmatic hernia and fecopneumothorax is made, for which he undergoes surgery.


Bhatti, U.H. and Dawani, S. (2015). Large bowel obstruction complicating a posttraumatic diaphragmatic hernia. Singapore Medical Journal, 56(4), 56-58. https://doi.org/10.11622/smedj.2015061

Petrone, P., Asensio, J.A. and Marini, C.P. (2017). Diaphragmatic injuries and post-traumatic diaphragmatic hernias. Current Problems in Surgery, 54(1), 11-32. https://doi.org/10.1067/j.cpsurg.2016.11.001

Tessely, H., Journé, S., Therasse, A., Hossey, D. and Lemaitre, J. (2020). A case of colon necrosis resulting from a delayed traumatic diaphragmatic hernia. Journal of Surgical Case Reports 2020, (6). https://doi.org/10.1093/jscr/rjaa101

Chern, T.Y., Kwok, A. and Putnis, S. (2018). A case of tension faecopneumothorax after delayed diagnosis.