The myth of recurrent diaphragmatic hernia repair

Adult onset or acquired diaphragmatic hernia cases are rare, with highly variable clinical manifestations. Mostly onset by trauma, these aberrations often remain unrecognized for long periods until secondary symptoms surface. Post-repair sequelae are wide with morbid consequences if left untreated. Hence, once recognized, immediate surgical repair is recommended. We present the case of a 25-year-old man with recurrent diaphragmatic hernia complicated postoperatively by cardiac and thoracic ramifications, primarily pericardial effusion. Mesh repair is a conventional and effective treatment for diaphragmatic hernia. However, cardiac and thoracic complications often arise as postoperative complications. Intensive care with multidisciplinary team management is paramount to reduce morbidity. Disease presentation and complication management have been extensively reviewed. Cardio-respiratory instability in post-diaphragmatic hernia repair increases the burden of morbidity and mortality in such patients. Proper anticipation and adequate management are imperative in patient management.