Congenital Diaphragmatic Hernia in an Elderly Male with Restrictive Lung Disease

Congenital diaphragmatic hernias (CDHs) are one of the most common major congenital malformations. Although most of them present in infancy or childhood, in rare cases, they may be detected in older patients, who present with nonspecific or apparently unrelated signs and symptoms. Here, we present the case of an elderly male who had a florid respiratory tract infection with type II respiratory failure and on investigation was diagnosed to have a CDH of Morgagni type. We also discuss the diverse presentations of such hernias in the elderly, their anatomical and developmental basis, and the role of imaging in reaching a proper diagnosis.