Congenital diaphragmatic herniae through the foramen of Bochdalek usua
lly present with severe respiratory symptoms soon after birth. The lat
e-presenting Bochdalek herniae often show difficulties in diagnosis le
ading to inappopriate treatment The prime example is the herniated sto
mach which is mistaken for a tension pneumothorax. Strangulation is a
rare, but an Important complication. Techniques for closure of diaphra
gmatic detects should be performed rapidly and effectively in a critic
ally ill patient.