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Diaphragmatic hernia is defined as the passage of abdominal organs through the diaphragmatic muscle and can be congenital or acquired. Motor vehicle accidents are the most common cause of acquired hernias in children. Commonly seen complaints include breathing difficulties and abdominal pain. Diagnosis and treatment delay is important causes of morbidity and mortality. Regardless of the time of trauma, a diaphragmatic hernia may develop in blunt or penetrating chest trauma. Here, we present a 14-year-old male patient who was admitted to the pediatric emergency room due to abdominal pain and was diagnosed with ileus together with a diaphragmatic hernia. He was treated and was inserted chest tube due to penetrating thoracic trauma 17 months ago.