I fell off the surgery table eight years ago during gynecologic laparoscopy. I was sent home with multiple symptoms without further diagnosis. I had a stroke two years ago, and I also suffer from lung infections. There is a pain when I breathe. However, I underwent blood tests and other diagnostic tests, but nothing was found. Last month I underwent an ultrasound of the upper left abdomen, which revealed a hematoma-like structure below the left diaphragm. Afterward, a CT scan was done and reviewed by my doctor. He found a perforated left diaphragm. In addition, my recent laboratory reports revealed thrombocytes up to 5.50 lakhs, leukocytes up to 16,000 mcL, and a low CRP level. Also, my lipase levels were three times more elevated than the normal range, and LDH was elevated twice its normal range. I am currently taking tablet Oxycodon 50 mg per day. Also, I have pain in the thoracic region, gastric issues, and an accumulation of liquid surrounding the liver (which comes and goes). However, I felt better after the infusion of IV antibiotics and fasting. So, what could be the diagnosis, and what can be done?