Int J Surg Case Rep

. 2021 Aug 6;85:106286. doi: 10.1016/j.ijscr.2021.106286. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/34388911/

Morgagni hernia in adult: A case report

Sandip Kuikel ¹, Sanjib Shrestha ², Sital Thapa ², Narendra Maharjan ³, Bishnu Prasad Kandel ³, Paleswan Joshi Lakhey ³Affiliations expand

• PMID: 34388911
• PMCID: PMC8358627
• DOI: 10.1016/j.ijscr.2021.106286

Free PMC article

Abstract

Introduction and importance: Morgagni Hernia is a congenital diaphragmatic hernia but can rarely present in adults. It occurs due to a congenital defect in the development of the diaphragm. Here we present a case of symptomatic Morgagni hernia diagnosed in a 53 years’ female.

Case presentation: A 53 years’ female presented with recurrent chest symptoms and was found to have bowel contents herniated into the right hemithorax on chest X-ray and CECT. Reduction of hernia was done laparoscopically and the hernia was repaired with non-absorbable suture in an interrupted manner.

Clinical discussion: Morgagni hernias are mostly diagnosed incidentally on a chest radiograph or can present with cardiorespiratory or abdominal symptoms. Our case was an adult who was diagnosed to have Morgagni hernia presenting with chest symptoms. The investigation of choice to diagnose and evaluate this condition is CECT of chest and repair of hernia without the use mesh is advised in asymptomatic cases also due to feared complications like strangulation and incarceration.

Conclusion: The treatment of Morgagni Hernia is primary surgical repair which can be done either transthoracically or transabdominally. It is advised that surgical repair should be done even in asymptomatic cases.

Keywords: Congenital diaphragmatic hernia; Morgagni hernia; Surgical repair.

Copyright © 2021 The Authors. Published by Elsevier Ltd.. All rights reserved.