Open Journal of Thoracic Surgery, 2018, 8, 1-5 http://www.scirp.org/journal/ojts ISSN Online: 2164-3067 ISSN Print: 2164-3059 DOI: 10.4236/ojts.2018.81001 Mar. 14, 2018 1 Open Journal of Thoracic Surgery Post-Traumatic Right Diaphragmatic Hernia with Hepatothorax Elias Amorim 1 , Frederico Berniz Aragão 2 , Armando Veiga 2 , Alexandre Porto Galdez 2 1 Head of Thoracic Surgery Service of the Maranhense Medical Center, São Luís, Brazil 2 Thoracic Surgeon of Maranhense Medical Center, São Luís, Brazil Abstract Introduction: Traumatic right diaphragmatic hernia is an extremely rare ent- ity, given the protection afforded by the liver. Clinical Case: A 51-year-old women who suffered a road-traffic accident presented with a heavy sensation and several episodes of moderate pain in the left hemithorax. Physical and ra- diological exams revealed a traumatic right hernia. Discussion: The diagnosis of hernia should be established as quickly as possible to reduce morbidity and mortality. Treatment of the injury is always surgical and outcome is invariably positive. Conclusion: The diagnosis of diaphragmatic hernia should always be considered in patients suffering road-traffic accidents to allow early diagnosis and successful treatment. Keywords Traumatic Diaphragmatic Hernia, Thoracic Surgery, Traumatology, Hepatothorax 1. Introduction Traumatic injuries were first mentioned by Sennertus in 1541. In 1579, Ambrósio Paré reported a blunt trauma case. In 1853, Bodwicht established the first diagnosis of blunt left thoracic trauma. Riof (1886) and Walter (1889) suc- cessfully treated a hernia [1] [2]. Diaphragmatic injury due to trauma is a rare entity that is hard to diagnose, leading to delayed treatment and increased morbidity [3]. Abdominal hernia is a rare consequence of thoraco-abdominal trauma. Her- niation of the right side of the diaphragm is an extremely rare condition owing to protection by the liver. Acute presentation is often life-threatening and early diagnosis is critical [4] [5]. How to cite this paper: Amorim, E., Aragão, F.B., Veiga, A. and Galdez, A.P. (2018) Post-Traumatic Right Diaphrag- matic Hernia with Hepatothorax. Open Journal of Thoracic Surgery, 8, 1-5. https://doi.org/10.4236/ojts.2018.81001 Received: January 15, 2018 Accepted: March 11, 2018 Published: March 14, 2018 Copyright © 2018 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access