Congenital diaphragmatic hernia presenting in the sixth decade mimicking pneumonia

Congenital diaphragmatic hernia presentation in adults is extremely rare. patients who present with late diaphragmatic hernias complain of a wide variety of symptoms and diagnosis can be difficult. we report a case of a 64 year old male who presented with a six month history of cough, shortness of breath and weight loss. the most common strategy to treat a bochdalek hernia is via a thoracotomy or laparotomy or both. in our patient the repair was performed with a thoracotomy.