Cureus

. 2023 Jul 30;15(7):e42676.

 doi: 10.7759/cureus.42676. eCollection 2023 Jul. https://pubmed.ncbi.nlm.nih.gov/37649941/

An Incidental Finding of Morgagni Hernia in an Elderly Female and Its Successful Management: A Rare Case Report and Review of Literature

Aditya Sharma ¹, Rahul Khanna ¹, Panchanana Panigrahy ¹, Ram Niwas Meena ¹, Shashi Prakash Mishra ¹, Seema Khanna ¹

Affiliations expand

• PMID: 37649941
• PMCID: PMC10463937
• DOI: 10.7759/cureus.42676

Abstract

Morgagni hernia is one of the congenital diaphragmatic hernias, but it can also occur in adults. It usually manifests in childhood, but in rare cases, it may also present in adults. It is linked to a congenital defect during the embryological development of the diaphragm. Uncommon diaphragmatic hernias, also called the foramen of Morgagni hernias, often affect the right side and are found in the anterior mediastinum. Typically asymptomatic in adult patients, the foramen of Morgagni hernia is linked to obesity, trauma, or other causes of elevated intraabdominal pressure. Diagnostic aids include plain pulmonary roentgenograms, contrast-enhanced radiographic investigations of the gastrointestinal tract, computerised tomography, and magnetic resonance imaging tests. We report a rare case of an 85-year-old female with a Morgagni hernia that was incidentally detected on a chest X-ray and was managed successfully.

Keywords: adult morgagni hernia; chilaiditi sign; rare case report; roof top incision; symptomatic morgagni hernia.

Copyright © 2023, Sharma et al.