A rare case of congenital diaphragmatic hernia in adult: an incidental finding during an elective procedure

Vinayagam Ganesan, Venkatesh Sadayan Periyasamy, Gokila Mariappan


Congenital diaphragmatic hernia consists of a defect of the diaphragm that allows the passage of abdominal viscera into the thorax. Congenital diaphragmatic hernia most commonly present in infancy and childhood due to respiratory distress. However, a few of them may escape into adulthood. A very few of these adult cases may be identified during a routine medical checkup for various other reasons without any cardio-respiratory problems. In our case report, we have diagnosed incidentally an asymptomatic left diaphragmatic hernia with cardio-mediastinal shifting in a 38 years old female admitted for left breast fibroadenoma excision during a routine pre-anesthetic check-up and underwent breast surgery without any cardio-respiratory problems.


Congenital diaphragmatic hernia, Cardio-mediastinal shifting, Foramen of morgagni

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Bianchi E, Mancini P, De Vito, S. Congenital asymptomatic diaphragmatic hernias in adults: a case series. J Med Case Reports. 2013;7:125.

Prenatal detection and outcome of congenital diaphragmatic hernia: a French registry‐based study - Gallot - 2007 - Ultrasound in Obstetrics & Gynecology - Wiley Online Library. Available at: Accessed on 10 July 2020.

Yang W, Carmichael SL, Harris JA, Shaw GM. Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989-1997. Birth Defects Res Part A Clin Mol Teratol. 2006;76(3):170-4.

Torfs CP, Curry CJ, Bateson TF, Honoré LH. A population-based study of congenital diaphragmatic hernia. Teratology. 1992;46(6):555-65.

Congenital diaphragmatic hernia – ScienceDirect. [cited 2020 Jul 10]. Available from: Accessed on 10 July 2020.

A N, Z S, A M, S C. Delayed presentation of congenital diaphragmatic hernia. S Afr J Surg. 1997;35(2):74-6.

Gayer G, Bilik R, Vardi A. CT diagnosis of delayed presentation of congenital diaphragmatic hernia simulating massive pleuropneumonia. Eur Radiol. 1999;9(8):1672-4.

Stoll C, Alembik Y, Dott B, Roth M-P. Associated malformations in cases with congenital diaphragmatic hernia. Genet Couns. 2008;19(3):331-9.

Bochdalek hernia. Radiology Reference Article | Available at: https://radiopaedia. org/articles/bochdalek-hernia. Accessed on 10 July 2020.

Morgagni hernia. Radiology Reference Article | Available at: Last accessed on 10 July 2020.

Nguyen TL, Le AD. Thoracoscopic repair for congenital diaphragmatic hernia: lessons from 45 cases. J Pediatr Surg. 2006;41(10):1713-5.

Gale ME. Bochdalek hernia: prevalence and CT characteristics. Radiology. 1985;156(2):449-52.

Sridhar AV, Nichani S. Late presenting congenital diaphragmatic hernia. Emerg Med J. 2004;21(2):261-2.

Navakishore K, Sharma D, Gondu GR, Thumma VM, Gunturi SV, Reddy JM. Surgical Management of Adult Diaphragmatic Hernia - An Instituitional Experience. IJCMSR. Available at: Accessed on 3 June 2020.

Baerg J, Kanthimathinathan V, Gollin G. Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome. Hernia. 2012;16(4):461-6.