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Research: A rare presentation of Morgagni hernia in an adult with strangulated ileum: A case report

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Research: A rare presentation of Morgagni hernia in an adult with strangulated ileum: A case report

Int J Surg Case Rep

. 2022 Sep 20;99:107675.

 doi: 10.1016/j.ijscr.2022.107675. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36156457/

A rare presentation of Morgagni hernia in an adult with strangulated ileum: A case report

Joshua Muhumuza 1Denis Bitamazire 2Jethro Atumanyire 3Vivian Akello 2Franck Katembo Sikakulya 2ByaMungu Kagenderezo 2

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Free article

Abstract

Introduction: Congenital diaphragmatic hernia (CDH) occurs in 1/2500 new-borns. Morgagni hernia (MH) is a very rare type of congenital diaphragmatic hernia found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. It accounts for approximately 3 % of all diaphragmatic hernias. Most of these hernias are recognised and treated in childhood however, a very small portion present in adults.

Case presentation: We present a 30 year old female who presented with intestinal obstruction and was found to have a MH with strangulated ileum at operation. Strangulated ileum was resected, primary anastomosis done and suture repair of the defect done.

Conclusion: MH can present in adulthood and should be considered as a deferential diagnosis among patients presenting with mechanical intestinal obstruction with no obvious cause.

Keywords: Adult; Case-report; Hernia; Morgagni; Strangulated.

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