title: An unusual cause of dyspnea and tachycardia.
abstract: Diaphragmatic hernias are typically congenital or caused by trauma. Delayed presentation is not uncommon. Repair can be undertaken through an open or minimally invasive abdominal or thoracic approach. Small defects can be repaired with sutures, while larger defects require a mesh repair. This patient's comorbidities precluded him from surgery.
authors.affiliation: Department of Surgery Mayo University Hospital Castlebar Co Mayo Ireland.
authors.forename: Ian S
authors.initials: IS
authors.lastname: Reynolds
authors.affiliation: Department of Surgery Mayo University Hospital Castlebar Co Mayo Ireland.
authors.forename: Peter
authors.initials: P
authors.lastname: Coyle
authors.affiliation: Department of Surgery Mayo University Hospital Castlebar Co Mayo Ireland.
authors.forename: Michael
authors.initials: M
authors.lastname: Murray
authors.affiliation: Department of Surgery Mayo University Hospital Castlebar Co Mayo Ireland.
authors.forename: Ronan
authors.initials: R
authors.lastname: Waldron
authors.affiliation: Department of Surgery Mayo University Hospital Castlebar Co Mayo Ireland; Discipline of Surgery National University of Ireland Galway Galway Ireland.
authors.forename: Kevin
authors.initials: K
authors.lastname: Barry
keywords: diaphragmatic hernia; dyspnea; hernia; laparoscopic surgery; tachycardia