Abstract
Traumatic diaphragmatic injuries (TDI) are uncommon but potentially life-threatening, typically resulting from high-energy blunt or penetrating trauma. Due to their often subtle presentation and association with other injuries, TDIs are frequently missed during initial evaluation. Delayed diagnosis can result in herniation of abdominal organs into the thoracic cavity, respiratory compromise, and increased morbidity. This study reviews our institutional experience in diagnosing and managing TDIs over a two-year period at Abo-Slim Trauma Hospital, Tripoli, Libya.