Aim:
Identify clinical signs of managing incarcerated post-traumatic diaphragmatic hernia, which simulated the clinical course of acute pancreatitis.

Material and methods:
The article focuses on the instrumental imaging methods which greatly enhance the possibilities when arriving at correct and quick diagnosis of acute surgical pathology.

Case report:
A 20-years-old female patient presented to the district hospital acutely unwell with the complaints of constant pain in the left hypochondrium irradiating to the left half of the back, urges to vomit, dry mouth, general weakness. The initial diagnosis included «Left-sided renal colic. Chronic pancreatitis in the stage of exacerbation». We did not use modern instrumental examination methods due to the lack of certain conditions in the hospital. Thus, the symptomatic conservative treatment was provided (infusion therapy, antispasmodics, painkillers). But the patient's condition became worse. She was referred to the surgical department of the regional hospital with a diagnosis «Acute pancreatitis».

Summary:
The aim of the study is to identify clinical signs of managing incarcerated post-traumatic diaphragmatic hernia, which simulated the clinical course of acute pancreatitis. The article focuses on the instrumental imaging methods which greatly enhance the possibilities when arriving at correct and quick diagnosis of acute surgical pathology. Analysis of clinical and anamnestic data of the disease course and the results of instrumental research methods made it possible to arrive at clear clinical diagnosis, determine the indications for surgical treatment in this specific clinical case. The use of modern visualization methods while examining the patients prevents errors in diagnosis and helps to determine the optimal treatment tactics.