Ann Thorac Surg Short Rep

. 2025 Jul 25;3(4):932-935.

 doi: 10.1016/j.atssr.2025.06.028. eCollection 2025 Dec.

Management of Congenital Morgagni Hernia With Gastric Outlet Obstruction Causing Perforated Esophagus in a Young Adult

Nicole Lin ¹, Merit Gorgy ¹, Kenji Okumura ¹, Falyn Katzman ¹, Matthew McGuirk ¹, Clara Angeles ², Tracey Weigel ¹

Affiliations Expand

• PMID: 41425452
• PMCID: PMC12712154
• DOI: 10.1016/j.atssr.2025.06.028

Abstract

This report presents a rare case of esophageal perforation in a patient with a large, incarcerated Morgagni hernia. At presentation, the Morgagni hernia contained peritoneal contents, including the stomach and duodenum. Because of distal obstruction resulting in persistent emesis, the patient presented in a septic state in the setting of esophageal perforation. We present a hospital course where the esophageal perforation was repaired on an emergency basis through a left thoracotomy, followed by a delayed robotic-assisted diaphragmatic repair using mesh.

© 2025 The Author(s).

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Darlene Silverman

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