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 1, Denis Bitamazire 2, Jethro Atumanyire 3, Vivian Akello 2, Franck Katembo Sikakulya 2, ByaMungu Kagenderezo 2
- PMID: 36156457
- DOI: 10.1016/j.ijscr.2022.107675
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.
Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.