A Rare Case of Right-Sided Diaphragmatic Hernia in an Adult Presenting as Subacute Intestinal Obstruction with Transverse Colon as Content

Dr. Alok Tripathi, Dr. Abhinav Sengar, Dr. Apoorva Mathur, Dr. Shubham Chaubey

Abstract: Background: Right-sided diaphragmatic hernias in adults are rare and often present a diagnostic challenge. Their presentation as subacute intestinal obstruction without prior trauma is exceedingly uncommon [1]. Case Presentation: We report a case of a 70-year-old female who presented with upper abdominal pain, vomiting, and non-passage of stool and flatus for 4 days. Imaging suggested subacute intestinal obstruction. Exploratory laparotomy revealed a right-sided diaphragmatic hernia containing a loop of transverse colon. Hernial content was reduced and the diaphragmatic defect repaired successfully. Conclusion: A high index of suspicion is crucial for diagnosing diaphragmatic hernia in atypical adult presentations. Prompt imaging and surgical management are essential to avoid complications [2, 3].

Keywords: Diaphragmatic hernia, Right-sided hernia, Subacute intestinal obstruction, Transverse colon, Exploratory laparotomy

How to Cite?: Dr. Alok Tripathi, Dr. Abhinav Sengar, Dr. Apoorva Mathur, Dr. Shubham Chaubey, "A Rare Case of Right-Sided Diaphragmatic Hernia in an Adult Presenting as Subacute Intestinal Obstruction with Transverse Colon as Content", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 416-417, https://www.ijsr.net/getabstract.php?paperid=SR25705222459, DOI: https://dx.doi.org/10.21275/SR25705222459