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Research: Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections.

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Research: Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections.

Cureus. 2019 Feb 7;11(2):e4035. doi: 10.7759/cureus.4035. https://www.ncbi.nlm.nih.gov/pubmed/32181060

Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections.

Hashmi MU1Ullah K2Tariq A2Sarwar M3Khan IH2.

Author information

Abstract

Morgagni-Larrey hernia is an exceedingly rare presentation of congenital diaphragmatic hernia. Despite its rarity, it is associated with significant risk of morbidity and mortality. Herein, we describe a unique case report of an elderly woman who presented with left-sided chest pain, dyspnea, and chronic history of recurrent respiratory tract infections. On the basis of her medical history, general physical examination and imaging studies, she was operated for a presumptive diagnosis of thymolipoma. However, the intra-operative findings revealed that it was an unusual variant of a diaphragmatic hernia and the hernia sac appeared through the retrosternal foramen of Morgagni. Hence we concluded that it was a Morgagni-Larrey hernia compressing the lungs and heart. Consequently, the hernia was reduced and the defect was repaired. During the postoperative period, the patient had an uneventful recovery. To conclude, the possibility of a Morgagni-Larrey hernia should be strongly considered while evaluating a patient with recurrent chest infections, dyspnea, and vague chest pain.

Copyright © 2019, Hashmi et al.

KEYWORDS:

congenital diaphragmatic hernia; larrey hernia; morgagni hernia; omentum; recurrent respiratory tract infections; sternocostal trianglePMID: 32181060 PMCID: PMC7053801 DOI: 10.7759/cureus.4035Free PMC Article

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