Introduction: Diaphragmatic rupture is a rare pathology that is reported in less than 0.5% of all trauma cases, with signs and symptoms that can lead to misdiagnosis. To effectively diagnose and treat this illness, clinicians must maintain a high index of suspicion. We present a series of cases of a large diaphragmatic rupture with transthoracic herniation of the stomach small intestine and large intestine that was successfully repaired, along with a literature review. Methods: The data and information are collected from the Department of Surgery Gandhi Medical College and Hamidia Hospital, Bhopal. We present our experience of traumatic diaphragmatic injury patient management of five patients who presented to our emergency department. Results: These cases highlight the importance of diaphragmatic rupture and its associated intra-abdominal injuries when treating trauma patients. With missed diaphragmatic injuries leading to a potential morbidity rate of 30% and a mortality rate as high as 10%.one should be alert while treating these patients