[A woman with abdominal pain after anti-reflux surgery].

A 28-year-old female presented with acute abdominal pain three months after Nissen fundoplication surgery. Imaging revealed a diaphragmatic hernia, with an intra-thoracal colon, stomach and spleen. This highlights the importance of considering (incarcerated) diaphragmatic hernia as a potential complication post-Nissen fundoplication and the necessity of prompt diagnosis and surgical management.