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1) A case of traumatic diaphragmatic hernia with two perforations of the diaphragm involving the stomach, transverse colon and omentum is presented.
2) Although definite criteria for suspecting the diagnosis were present, the patient was observed for 11 months in a hospital before the correct diagnosis was made.
3) Clinicians should consider the possibility of diaphragmatic hernia in all cases with obscure symptoms simulating thoracic or abdominal disease.
4) In order that a correct examination will be made, the radiologist should be asked specifically to look for a diaphragmatic hernia.
5) The treatment is surgical.
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