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An unusual complication of traumatic diaphragmatic hernia.

Traumatic diaphragmatic hernia is diagnosed during one of three phases. These are immediately after the trauma, during an interval phase, or when it becomes complicated by obstruction or strangulation of the contents of the hernia (Carter et al, 1951). We report a patient who presented some weeks after the original injury with the unusual complication of gangrene of the stomach. In addition, the basal segments of the left lower lobe of the lung that were in close proximity to the stomach were destroyed, presumably by transudation through the necrotic stomach of gastric secretions, necessitating left lower lobectomy. This complication has not previously been reported.