Spontaneous Acquired Diaphragmatic Hernia in an Elderly Female: A Case Report of Abdominal Mesh Repair and Diagnostic Challenges

Spontaneous acquired diaphragmatic hernia is an exceptionally rare condition. Clinical presentation is always subtle and non-specific, thus contributing to the delay in early diagnosis and treatment, which, on the other hand, is vital to prevent complications such as respiratory distress and organ strangulation from its occurrence. Thoracic and abdominal approaches are practiced, wherein the transabdominal approach gets extra points for the ease of performing this surgery when it comes to field visualization and managing intra-abdominal adhesions. This case report elaborates on one successful story of an old lady who underwent mesh repair via transabdominal approach, with an uneventful postoperative recovery. We have discussed the challenges in diagnosing the condition, the role of imaging in confirming the diagnosis, and the advantages of the transabdominal approach. By reviewing this case and relevant literature, we aim to create awareness about this rare entity and highlight the value of early diagnosis and appropriate treatment measures at the right time, potentially improving patient outcomes.