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We present a case of congenital diaphragmatic hernia that was successfully treated with spi-ral tacks using thoracoscopy. A newborn female was diagnosed with a diaphragmatic hernia at 20 weeks of gestation. The defect was surgically repaired by thoracoscopy and primary closure. On postoperative day 25, she developed respiratory distress. Chest x-ray showed a recurrence and was taken to the OR for surgical repair with spiral tacks.

HighlightsThe proximity to the skin’s surface make several vital structures vulnerable to injury after blunt neck trauma.Isolated injury to the thyroid gland is rare and most cases have a predisposing disease such as goiter.CT-scan is helpful in evaluating the neck structures and evidencing injury to the thyroid.Surgical exploration remains the most common treatment strategy, all cases should be individualized.