ABSTRACT:Here, we report a fifty six year old male patient with intrathoracic incarceration and perforation of the stomach on the left side of the diaphragmatic defect resulting as empyema and a late sequelae of barium induced pleural thickening where decortication was performed. It is not usual, without a history of trauma patient developing acquired Bochdalek hernia with empyema as seen in our case. Anaesthetic management was successful in the repair of acquired Bochdalek hernia during the first surgery and decortication of the lung during the second surgery in our patient.
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