Strangulated Diaphragmatic Hernia- A Rare Cause of Acute Intestinal Obstruction in Adults

Diaphragmatic hernia in the absence of trauma is very rare in adults. The literature describes less than a dozen such cases of right-sided diaphragmatic hernia .We present a rare case of spontaneous right side diaphragmatic hernia in adult patient without any h/o trauma. The Patient presented with acute pain abdomen, distention, vomiting and obstipation. Radiological investigations confirmed acute intestinal obstruction and multiple air-fluids levels, also in the right hemithorax, suspicious of diaphragmatic hernia. Exploratory laparotomy was performed and a loop of ileum herniating through a diaphragmatic defect was seen on the right side. Resection and anastomosis of the strangulated herniating loop was done. Diaphragmatic hernial defect was repaired.