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Definitive treatment was achieved with significant reduction in hernia size and formation of a neo-diaphragm with composite mesh. The postoperative period was complicated only by a wound infection. Two weeks after discharge the patient remained clinically well. Repeat chest X-ray showed no recurrence of the hernia. Congenital diaphragmatic hernias should be considered in patients with ongoing respiratory symptoms. Thoracotomy provides a safe approach.<\/jats:p>","DOI":"10.1136\/bcr-2016-217432","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T08:24:50Z","timestamp":1479284690000},"page":"bcr2016217432","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Massive symptomatic right-sided Bochdalek hernia in an adult man"],"prefix":"10.1136","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2472-9213","authenticated-orcid":false,"given":"Naman","family":"Kohli","sequence":"first","affiliation":[{"name":"Department of Surgery, Barwon Health, Geelong, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goran","family":"Mitreski","sequence":"additional","affiliation":[{"name":"Department of Surgery, Barwon Health, Geelong, Victoria, 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