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. The late presentation in adulthood is rare and is reported in the literature. We describe anesthetic management of a rare case of 45-year-old female admitted with history of pain in abdomen who suffered from sealed perforation from the obstructed Morgagni hernia with transverse colon and omentum as contents.

Keywords: Diaphragmatic hernias; Double lumen tube; Anesthesia management; Colostomy.