Congenital Diaphragmatic Hernia (CDH) occurs in about 1 in 3000 births. It usually presents at birth because of the defects in the foramen of Bochdalek or Morgagni in the postero-lateral or anterior part of the diaphragm with an incidence of 1:3000. The late presentation in adulthood is rare and is reported in the literature. We present anesthetic management of a case of 75 years old male with subacute intestinal obstruction with respiratory distress diagnosed on X-ray Chest and CT chest-abdomen of having left-sided diaphragmatic hernia who admitted for laparoscopic surgical repair.
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