An unusual case of postoperative incarcerated diaphragmatic hernia

A very unusual case of incarcerated afferent loop in a postoperative diaphragmatic hernia after a Billroth II operation and a subsequent thoraco-abdominal resection of a benign oesophago-cardial stricture is presented. Insufficient closure of the diaphragm combined with long loops after a gastro-jejunostomy seemed to be the predisposing factor to this unusual postoperative complication. The risk of rare cases of incarcerated diaphragmatic hernia should be considered after proximal gastric resection.