Abstract
WHILE the frequency of strangulation in diaphragmatic hernias is not great, the complication is a fatal one demanding early surgical therapy. All physicians should be aware of this condition and consider it a possibility in any patient with lower thoracic or upper abdominal pain, the etiologic basis of which has not been clearly established. I wish to present my experience with four cases and in outline form summarize a group of cases1collected from the literature since the report of Carter and Giuseffi2in 1948. These authors presented in detail the clinical symptomatology and the physical and x-ray findings in strangulated diaphragmatic hernia, and these findings will be omitted from this presentation. REPORT OF CASES Case 1 (Mrs. L. B., Seaside Hospital). —This case has been previously reported in detail.3The patient was a 32-year-old white woman. On Feb. 25, 1949, seven hours after a normal delivery, she began

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