Non-traumatic diaphragmatic hernia in adult is anuncommon condition. Abrought dead case of 27-year-oldmale for medico-legal autopsy was foundto be suffering from a massive left sided diaphragmatic hernia.The patient was suffering from repeated bouts of abdominal discomfort and constipation from last coupleof months. Though he had sought medical care at different health care facilities but his condition wasnever suspected nor diagnosed till he was brought dead to the tertiary health care institute and autopsyconducted. The gross autopsy findings, histopathology and patho-physiology are discussed in detail alongwith emphasis on clinical diagnosis of this preventable cause of death.
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