{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:47:42Z","timestamp":1791982062406,"version":"4.4.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T00:00:00Z","timestamp":1764892800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Traumatic diaphragmatic hernia (TDH) is a rare acquired condition usually occurring due to blunt thoracoabdominal trauma, most commonly in road traffic accidents (RTAs). It may also occur due to penetrating trauma. Diagnosis may be delayed due to the masking effect of other severe injuries in a patient with polytrauma. Here, we present the case of a 23-year-old male patient having a history of thoracoabdominal injury due to RTA before 3 months, presenting with severe vomiting, respiratory discomfort and weight loss. He was treated at other places symptomatically for gastritis and flatulence. He was diagnosed with gastric outlet obstruction due to left-sided TDH. He was successfully treated with laparoscopic repair and mesh placement. He needed thoracotomy for left lung decortication in post-operative period owing to persistent pleural effusion and lung collapse. He recovered well and remains asymptomatic on follow-up. Upon asking detailed history, he remembered that he had trauma following being struck by a vehicle. We aim to present this case to highlight the importance of detailed history taking for arriving at a timely diagnosis.<\/jats:p>","DOI":"10.4103\/jmas.jmas_178_25","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T06:00:23Z","timestamp":1765000823000},"page":"433-437","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic diaphragmatic hernia presenting as gastric outlet obstruction: A delayed presentation"],"prefix":"10.4103","volume":"22","author":[{"given":"Katha H.","family":"Dave","sequence":"first","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpit R.","family":"Suthar","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar J.","family":"Vaghela","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana D.","family":"Dalal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi A.","family":"Saraf","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammed A.","family":"Viajkhora","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chintan N.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinju A.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dev H.","family":"Khatri","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunita N.","family":"Damor","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"R2-20261014","first-page":"243","article-title":"Giant right post-traumatic diaphragmatic hernia: Laparoscopic repair without a mesh","volume":"57","author":"Rossetti","year":"2005","journal-title":"Chir Ital"},{"key":"R3-20261014","first-page":"219","article-title":"Traumatic diaphragmatic hernia challenging diagnosis and early management","volume":"26","author":"Abdelshafy","year":"2018","journal-title":"J Egypt Soc Cardiothorac Surg"},{"key":"R4-20261014","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s13017-023-00510-x","article-title":"Management of complicated diaphragmatic hernia in the acute setting: A WSES position paper","volume":"18","author":"Giuffrida","year":"2023","journal-title":"World J Emerg Surg"},{"key":"R5-20261014","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5812\/atr.7593","article-title":"Blunt traumatic hernia of diaphragm with late presentation","volume":"1","author":"Davoodabadi","year":"2012","journal-title":"Arch Trauma Res"},{"key":"R6-20261014","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1097\/00005373-199403000-00002","article-title":"Organ injury scaling. IV: Thoracic vascular, lung, cardiac, and diaphragm","volume":"36","author":"Moore","year":"1994","journal-title":"J Trauma"},{"key":"R7-20261014","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1016\/j.athoracsur.2007.10.084","article-title":"The current status of traumatic diaphragmatic injury: Lessons learned from 105 patients over 13 years","volume":"85","author":"Hanna","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"R8-20261014","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1067\/j.cpsurg.2016.11.001","article-title":"Diaphragmatic injuries and post-traumatic diaphragmatic hernias","volume":"54","author":"Petrone","year":"2017","journal-title":"Curr Probl Surg"},{"key":"R9-20261014","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/0002-9610(74)90090-7","article-title":"Traumatic injuries of the diaphragm. Diaphragmatic hernia","volume":"128","author":"Grimes","year":"1974","journal-title":"Am J Surg"},{"key":"R11-20261014","doi-asserted-by":"crossref","first-page":"340","DOI":"10.4103\/aam.aam_79_22","article-title":"Modified computed tomography severity index in evaluation of acute pancreatitis and its correlation with clinical outcome: A prospective observational study from a tertiary care teaching hospital, India","volume":"22","author":"Dalal","year":"2023","journal-title":"Ann Afr Med"},{"key":"R12-20261014","doi-asserted-by":"crossref","first-page":"e4362","DOI":"10.1097\/MD.0000000000004362","article-title":"Delayed traumatic diaphragmatic hernia","volume":"95","author":"Lu","year":"2016","journal-title":"Medicine"},{"key":"R13-20261014","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1089\/lps.1991.1.369","article-title":"Laparoscopic repair of diaphragmatic hernia","volume":"1","author":"Campos","year":"1991","journal-title":"J Laparoendoscopic Surg"},{"key":"R14-20261014","doi-asserted-by":"crossref","first-page":"1444","DOI":"10.1016\/0003-4975(95)00629-Y","article-title":"Traumatic rupture of diaphragm","volume":"60","author":"Shah","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"R15-20261014","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.2214\/ajr.173.6.10584809","article-title":"Helical CT of diaphragmatic rupture caused by blunt trauma","volume":"173","author":"Killeen","year":"1999","journal-title":"Am J Roentgenol"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_178_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:01:34Z","timestamp":1791979294000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_178_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,5]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_178_25","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,5]]},"assertion":[{"value":"2025-05-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}