The remote history of stab wound to the abdomen suggests that the diaphragmatic hernia in this case is a traumatic one, rather than a congenital. In fact, most case reports of incarcerated diaphragmatic hernia with large bowel obstruction describe prior trauma in one form or another, in some cases many years ago.

The obstruction was deemed high-grade. The cecum measures almost 11 cm, despite an incompetent ileocecal valve, which is considered high risk for perforation.