Accidental injuries in children are a common presentation in the primary care clinic. This includes blunt abdominal trauma, which could go unrecognised and cause severe sequelae. A good focused history taking, especially on the mechanism and force of injury coupled with careful physical examination, is crucial to excluding the possibility of internal viscus injuries. We present a case of an isolated gastric perforation, a rare injury secondary to blunt trauma, in a boy who presented with subtle signs and symptoms.

Focal eventration of the diaphragm with transthoracic kidney is a very rare condition. It is usually asymptomatic and often revealed as an incidental finding on imaging studies. We presented a case of previously undiagnosed focal eventration of left hemidiaphragm with transthoracic left kidney confused with traumatic diaphragmatic hernia. Differentiation of these two conditions is important as each were managed differently. A traumatic diaphragmatic hernia needs early surgical intervention whereas no treatment was required for focal diaphragmatic eventration in most cases. Diagnostic laparoscopy confirmed the findings in this case and the patient was managed conservatively.