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Acquired diaphragmatic hernias can occur due to various reasons, often involving trauma or surgical procedures. Here are the main types: Types of Acquired Diaphragmatic Hernia Traumatic Diaphragmatic Hernia (TDH) Causes: Blunt trauma (e.g., car accidents) or penetrating trauma (e.g., stab or gunshot wounds). Mechanism: The trauma causes a tear in the diaphragm, allowing abdominal organs to move into the chest cavity. Common Sites: Usually occurs on the left side due to the protective effect of the liver on the right side. Hiatal Hernia Causes: Weakening of the diaphragm around the esophageal hiatus (the opening for the esophagus). Mechanism: Part of the stomach pushes up through the hiatus into the chest cavity. Types: Sliding hiatal hernia (most common) and paraesophageal hiatal hernia. Iatrogenic Diaphragmatic Hernia Causes: Resulting from surgical procedures, such as laparoscopic surgeries or other abdominal surgeries. Mechanism: Incisions or surgical manipulations can create openings in the diaphragm. Anatomy and Pathophysiology Diaphragm Anatomy: The diaphragm is a muscular sheet separating the thoracic cavity from the abdominal cavity. It plays a crucial role in respiration. Pathophysiology: When a hernia occurs, abdominal organs (like the stomach, intestines, or liver) can protrude into the thoracic cavity, potentially causing respiratory issues and other complications2. Would you like more detailed information on any specific type of acquired diaphragmatic hernia or its treatment? #Hernia