Hérnia Diafragmática à Direita: Um Relato de Caso

Abstract: Case report of a patient with chronic right diaphragmatic hernia. Patient in the emergency room of a trauma referral hospital with severe intestinal obstruction. Posttraumatic diaphragmatic hernia is an injury rarely found in medical practice, especially when it affects the right hemidiaphragm. The ruptures on the right side are associated with high morbidity and mortality and, therefore, the underdiagnosis of injuries on the right may be due to higher pre-hospital mortality or to a delay in the in-hospital diagnosis, often because of the variable degree of traumatic involvement. Blunt diaphragmatic rupture, as it is an uncommon condition, should have a high index of suspicion in patients suffering from thoracoabdominal trauma, regardless of the trauma mechanism. The association with multiple and severe injuries is frequent, presenting a considerable morbidity and mortality rate, due to the risks of immediate and late complications involved in the delay in diagnosis.