Cureus

. 2024 Jul 3;16(7):e63754.

 doi: 10.7759/cureus.63754. eCollection 2024 Jul. https://pubmed.ncbi.nlm.nih.gov/39099961/

Foreign Body Ingestion Ending Up in Late-Presenting Morgagni Hernia Diagnosis: A Case Report

Elisavet Kanna ¹, Zoi Lamprinou ¹, Ioannis Skondras ¹, Adelais Tzortzopoulou ¹, Orthodoxos Achilleos ¹

Affiliations Expand

• PMID: 39099961
• PMCID: PMC11296398
• DOI: 10.7759/cureus.63754

Abstract

Morgagni hernia (MH), also known as a retrosternal or parasternal hernia, is a rare type of congenital diaphragmatic hernia (CDH) characterized by a defect in the anterior diaphragm. Patients with late-diagnosed MH typically present with vague gastrointestinal or respiratory symptoms. In some instances, MH is incidentally identified through chest X-rays performed for other reasons, such as foreign body ingestion, as illustrated in our presented case. We present a case of a delayed congenital diaphragmatic hernia of the Morgagni type in a two-year-old boy with a history of foreign body ingestion and severe abdominal pain. Diagnostic imaging, including chest radiograph and computed tomography (CT) scan, confirmed the diaphragmatic defect. Surgical repair, performed laparoscopically, resulted in an uncomplicated postoperative course and a favorable long-term outcome.

Keywords: children; congenital diaphragmatic hernia; foreign body ingestion treatment; laparoscopic repair; late presentation; thoracoscopic surgery.

Copyright © 2024, Kanna et al.