Abstract
A 43-year-old woman complaining upper abdominal pain and abdominal fullness was referred to us. Thirtythree years ago she was involved in a motor vehicle accident. Since the accident, she sometimes had abdominal fullness. Barium examination of the upper gastrointestinal tract revealed a whole stomach with mesentoaxial volvulus incarcerated into the left hemithorax. The diaphragmatic repair was performed through left thoracotomy and subcostal laparotomy. Whole stomach with mesentoaxial volvulus, cecum, transverse colon, and entire small intestine except the duodenum herniated into the left hemithorax. Only the duodenum, descending and sigmoid colons, liver, pancreas, and spleen were identified in the abdominal cavity. The diaphragm was primarily repaired. Thirty-three years is one of the longest interval phases of traumatic diaphragmatic hernia in Japan.
