{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T06:09:32Z","timestamp":1779257372976,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:00:00Z","timestamp":1779148800000},"content-version":"vor","delay-in-days":138,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Traumatic hemidiaphragmatic rupture (TDR) after blunt thoracoabdominal trauma is uncommon but potentially lethal if diagnosed late. The aim of this report is to highlight the delayed presentation of TDR and the diagnostic and therapeutic considerations in a resource\u2010limited setting. We present a case report of a 21\u2010year\u2010old man with obesity (BMI 30) suffered blunt trauma from a 2\u2010m fall. On initial evaluation, the chest X\u2010ray showed no hemidiaphragmatic elevation or pneumothorax, and he was discharged with recommendations. Fifteen days later, he was readmitted due to progressive dyspnea and desaturation. A Chest X\u2010ray and contrast\u2010enhanced computed tomography showed a left hemidiaphragmatic defect (46\u2009\u00d7\u200970\u2009mm) with herniation of the stomach, omentum, tail of the pancreas, and spleen. Exploratory laparotomy was performed, revealing a 10\u2009cm\u2009\u00d7\u20097\u2009cm defect with viable contents. Repair was achieved by primary closure with interrupted 0 polypropylene sutures, Stamm gastrostomy, and left thoracostomy. Postoperative evolution was satisfactory, and he was discharged after 12 days. This case is relevant because of its delayed presentation and the unusual inclusion of the pancreatic tail and spleen in the hernia sac, underscoring the need for a high index of suspicion and early imaging in closed thoracic trauma. TDR may present in a delayed fashion; early diagnosis by CT and timely surgical repair are essential to prevent severe complications, especially in resource\u2010limited contexts.<\/jats:p>","DOI":"10.1155\/cris\/7160634","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T05:36:38Z","timestamp":1779255398000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Late Visceral Herniation Secondary to Traumatic Left Hemidiaphragmatic Rupture After Blunt Trauma"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3276-7620","authenticated-orcid":false,"given":"J.","family":"Santiago Pab\u00f3n-Castro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-1126","authenticated-orcid":false,"given":"Jos\u00e9 Alejandro","family":"D\u00edaz-Castillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4631-8789","authenticated-orcid":false,"given":"L.","family":"Fernando V\u00e9lez-Cuorvo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7304-9946","authenticated-orcid":false,"given":"Johana C.","family":"Ram\u00edrez-P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4040-5825","authenticated-orcid":false,"given":"Valentina","family":"Velasco-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2918-6358","authenticated-orcid":false,"given":"Sara","family":"Prieto-Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.4321\/S1137-66272010000100011"},{"key":"e_1_2_12_2_2","first-page":"62","article-title":"Hernia diafragm\u00e1tica traum\u00e1tica cr\u00f3nica: a prop\u00f3sito de un caso","volume":"14","author":"Vald\u00e9s Ferro J.","year":"2010","journal-title":"Revista de Ciencias M\u00e9dicas de Pinar del R\u00edo"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00629-Y"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.appr.2020.100051"},{"key":"e_1_2_12_5_2","first-page":"18","article-title":"Hernia diafragm\u00e1tica secundaria a trauma abdominal cerrado","volume":"54","author":"Carrillo Esper R.","year":"2011","journal-title":"Revista de la Facultad de Medicina UNAM"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.4067\/s0718-40262018000500409"},{"key":"e_1_2_12_7_2","first-page":"415","article-title":"Hernia diafragm\u00e1tica traum\u00e1tica","volume":"74","author":"Olivares-Becerra J. 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