Blunt diaphragmatic lesions (BDL) injuries are estimated to occur in 0.8%–8% of patients with blunt abdominal trauma. Every diaphragmatic lesion should undergo surgical treatment as soon as possible in order to prevent further complications, like intestinal obstruction or respiratory distress, and to improve patient outcome. BDL are uncommon, but they should be promptly recognised as a delayed diagnosis increases morbidity and mortality. Despite the need for an early diagnosis, BDL remains undiagnosed mainly because of the presence of distracting injuries.

The condition is often clinically silent or may be overshadowed by associated injuries. Anatomy of diaphragm The diaphragm represents the anatomical landmark between thoracic and abdominal cavities and serves as the main muscle for respiration. BDL are usually the consequence of high-energy blunt abdominal traumas that determine a…