33 years old male presented on 23/01/23 with a three week history of severe, cramping abdominal pain radiating to flanks and associated with vomiting and loss of appetite. He had not opened his bowels for 15 days. PMH stab wound chest15 years ago A CTAP on 23/01 showed a left sided diaphragmatic hernia with suspicion of mesenteroaxial gastric volvulus OGD showed hiatus hernia which was misleading. Laparoscopic repair was carried out. First impression a hiatus hernia with gastric volvulus as the patient was not mentioned the stab wound. Procedure intended for Gastric volvulus in a large hiatus hernia but anatomy intra-op did not corroborate this. Stomach dissected and pulled to abdominal cavity with difficulty. Typical hiatal anatomy with oesophagus through crura was not identified. Further dissection right lateral to the hernia revealed Pars flaccida with exposure of hiatus and Abdominal oesophagus made. Possibility of Traumatic diaphragmatic hernia then confirmed and patient history retrospectively confirmed this. Patient had an excellent outcome and discharged after 4 days from operation.