Left-sided blunt traumatic diaphragmatic rupture was more common than right-sided rupture. The most commonly herniated organs were the stomach and colon. Most ruptures could be repaired by an abdominal approach, which also allowed a complete exploration of the abdominal organs. Careful attention should be given to associated intra-abdominal injuries. Most of the defects were repaired directly using nonabsorbable sutures.

Median pancreatectomy (MP) has gained popularity in the past decade as treatment of choice for benign and low-malignant potential tumor in the mid-pancreas due to its ability to achieve optimal preservation of pancreatic parenchyma. MP is a safe and effective alternative to major pancreatic resection in selected patients with benign or low-malignant lesions of the pancreas. This paper reports a case of successful MP done for a lesion at the junction of neck and body of pancreas in a rural medical college in India. Post-operative follow up for 2 years showed complete relief of abdominal symptoms with good exocrine and endocrine function.