STRANGULATION of a diaphragmatic hernia is sufficiently rare an occurrence to warrant reporting in the literature. It is important that this diagnosis be kept in mind in any case of obscure lower thoracic or upper abdominal pain because the history and clinical picture of strangulated diaphragmatic hernia make an almost classic entity. Early diagnosis is essential for adequate therapy, whereas procrastination spells disaster for the patient.
Carter and Giuseffi1 surveyed the literature in 1948 and collected 43 cases of strangulated diaphragmatic hernia. To these Pearson3 later added 29 more from the literature and 4 of his own, to bring the total to 76 cases to date.
As far as involvement of the stomach is concerned, we have been able to find six reports of gangrene of the stomach due to strangulated diaphragmatic hernia. Hamilton and Phillips2 in 1949 treated two cases of their own and collected three