Abstract: Background: the cause of the development of traumatic hernias of the diaphragm is its damage due to open or closed injury In modern conditions, the diaphragm injury is most common trauma in falling from height and car accidents (multiple trauma), and can be unnoticed in againts the background of other injuries. The dislocation of abdominal organs into the pleural cavity occurs in various, sometimes long, time periods after trauma. This situation is determined by the gradual increase in the size of the defect due to the difference in pressure in the abdominal and pleural cavities. Aim: was to study the importance of radiodiagnosis of traumatic hernias of the diaphragm. Materials and methods: two rare clinical cases of traumatic diaphragmatic hernias are presented. In one observation - a woman of 81 years, in the second - a 66 years old man. Results: a woman with a history of trauma as a result of a car accident 10 years ago, basec on a comprehensive survey, revealed posttraumatic hernia of the right half of the diaphragm with a dislocation into the pleural cavity of the small and large intestine. In the second case report (male), an old rupture of the left half of the diaphragm of unknowr prescription of injury was revealed with the dislocation of the greater part of the intestine and the left kidney Conclusion. To diagnose traumatic hernias of the diaphragm, a comprehensive examination of patients is necessary. Plain radiography can detect the dislocation of abdominal organs into the pleural cavity, and examination of the gastrointestinal tract with a water-soluble contrast drug is a violation of the passage. Multi-slice computed tomography (MSCT) in case of such pathology, has a greater importance, because thin sections give the highest resolving power. The construction of multiplanar reformation allows obtaining more complete information on the dislocation of organs, visualizing the defect of the diaphragm and determining its exact localization. References 1. Abdominalnaia travma. Rukovodstvo dlia vrachei [Abdominal trauma. Guide-book for doctors](Pod red. A.S. Ermolova). M.: Vidar-M. 2010; 386-399. [In Russ]. 2. Korabelnikov I.D. Travmaticheskie diafragmalnye gryzhi [Traumatic diaphragmatic hernias] (Pod red. V.A. Chernavskogo). M.: Medgiz. 1951; 5-62 [ In Russ]. 3. Borisov A.E., Kubachev K.G., Kukushkin A.V. i dr. Diafragmalnye gryzhi. Diagnostika i khirurgicheskoe lechenie [Diaphragmatic hernias. Diagnosis and surgical treatment.] Vestnik khirurgii im. 1.1. Grekova. 2012; 171 (6): 38-42 [In Russ]. 4. Plekhanov A.N. Khirurgiia travmaticheskikh diafragmalnykh gryzh [Surgery of traumatic diaphragmatic hernias.] Vestnik khirurgii im 1.1. Grekova. 2012; 171(5): 107-110 [In Russ]. 5. Aliev 6. Thiam O., Konate I., Gueye M.L. et al. 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Abstract: Aim. Was to study X-ray computer tomography (X-CT) semiotics of lungs injure in patients with closed thoracic trauma. Materials and methods. For the period of 2008-2009 in Moscow Institute of Emergency First Aid we have examined 90 patients with different forms of pulmonary hemorrhage: aged 15-83 years (middle age 33,8); 71 men (78,9%) and 19 women (21,1%).The diagnosis was established due to X-CT Results. All the patients had pulmonary bruise with different Intensity and prevalence on the 1st day In 67% patients it was combined with bleeding or/and gas in the depth of lungs - hematoma, hemopneumatocele, pneumatocele. Supervision in dynamics showed gradually regression of bruise lesions and traumatic caverns structure transformation Conslution. X-CT in patients with closed thoracic trauma can specify the localization, characteristic and volume of pulmonary injure; it can also document pathologic process in dynamics. References 1. Ермолов А.С. Основные принципы диагностики и лечения тяжелой сочетанной травмы. 80 лекций по хирургии. Под ред. В.С. Савельева. М.: Литтерра. 2008;507-514 2. Collins J. Chest wall trauma. J. Thorac. Imaging. 2000; 15: 112-119. 3. Miller D.L., Mansour K.A. Blunt traumatic lung injuries. Thorac. Surg. Clin. 2007; 17: 57-61. 4. Неотложная лучевая диагностика механических повреждений. Руководство для врачей. Под ред. В.М. Черемисина, Б.И. Ищен-ко. С.-Пб.: Гиппократ. 2003; 448. 5. Marts B. et al. Computed tomography in the diagnosis of blunt thoracic injury. Am. J. Surg. 1994; 168: 688-692. 6. Wanek S., Mayberry J.C. Blunt thoracic trauma. Flail chest, pulmonary contusion and blast injury. Crit. Care. Clin. 2004; 20: 71-81.
