Abstract
A 70-year-old male patient with a history of systemic hypertension, gouty arthritis, and possible chronic kidney disease presented with right flank pain, nausea, and decreased appetite. Examinations revealed a right-sided incarcerated diaphragmatic hernia in the anterior region, with protrusion of adipose tissue and loops of small intestine. A laparoscopic surgery was performed, during which the herniated contents were reduced, and a hernia defect approximately 4 cm in size was found and repaired. Post-surgery, he developed complications including pulmonary thromboembolism, intestinal perforation, and fistula, which required reoperation, and progressive clinical deterioration, ultimately leading to death. This case report presents a rare instance of congenital hernia diagnosed through imaging after the onset of nonspecific clinical symptoms. It emphasizes the importance of considering this pathology among differential diagnoses of acute abdomen for prompt diagnosis and appropriate management through surgical intervention.
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