# Spontaneous Right-Sided Diaphragmatic Hernia: A Rare Cause of Small Bowel Obstruction

## TL;DR

A rare case of right-sided diaphragmatic hernia causing small bowel obstruction in an elderly man without trauma history is reported.

## Contribution

Highlights the importance of considering diaphragmatic hernia in SBO diagnosis even without trauma.

## Key findings

- CT confirmed a diaphragmatic hernia as the cause of small bowel obstruction in a 79-year-old male.
- The patient recovered well after surgery involving bowel resection and hernia repair.
- The case emphasizes the need for early diagnosis to prevent complications.

## Abstract

Diaphragmatic hernia (DH) is an uncommon cause of small bowel obstruction (SBO), particularly in the absence of trauma. This rarity can pose a diagnostic challenge, leading to significant delays in treatment and increased morbidity. We report a case of a 79-year-old male patient who presented with acute signs of small bowel obstruction. The patient had no reported history of trauma. Computed tomography (CT) of the abdomen revealed a diaphragmatic hernia causing small bowel obstruction. The patient underwent an initial laparoscopy, which was converted to laparotomy, small bowel resection, and subsequent hernia repair. The patient made a good recovery, and two weeks after his initial presentation, he was discharged home. This case highlights the importance of considering diaphragmatic hernia in differential diagnosis for small bowel obstruction, even in the absence of trauma.