Acute diaphragmatic hernia in an adolescent

The case report of a 13 year-old patient is presented who was admitted in the Surgery Service of theBasicHospitalfromLatacunga,Ecuador, after being runned over by an automobile that produced him closed thoracic and abdominal traumatisms. The radiological studies confirmed the diagnosis of left traumatic diaphragmatic hernia. During surgery a defect of10 cmwas found in the left diaphragm, with stomach, spleen and colon herniated in the thorax, for which reduction and frenorrafia were carried out. This patient had a satisfactory clinical course and was discharged on the fifth day. Follow-up was carried out during 6 months and there were no complications.