Large Morgagni Hernia in an Adult Patient

Sofia Marques Santos; Eunice Oliveira; Nuno Ferreira Monteiro; Maria Manuela Soares; Alberto Mello e Silva

doi:10.12890/2015_000322

Large Morgagni Hernia in an Adult Patient

Sofia Marques Santos Hospital Egas Moniz, CHLO EPE
Eunice Oliveira Hospital Egas Moniz, CHLO EPE
Nuno Ferreira Monteiro Hospital Egas Moniz, CHLO EPE
Maria Manuela Soares Hospital Egas Moniz, CHLO EPE
Alberto Mello e Silva Hospital Egas Moniz, CHLO EPE

DOI: https://doi.org/10.12890/2015_000322

Keywords

Morgagni hernia, diaphragmatic hernia

Abstract

A 70-year-old woman presented to the emergency department with symptoms of a lower respiratory infection. A chest x-ray showed enlargement of the mediastinal space. The patient was admitted with a respiratory tract infection and started on antibiotic treatment. A computed tomography (CT) scan of the thorax revealed a large diaphragmatic hernia with stomach, large intestine and caudal pancreas lodged in the thoracic cavity. After the antibiotic treatment, the patient became asymptomatic and surgery repair was declined.
Morgagni hernia is an uncommon type of congenital diaphragmatic hernia, which may be asymptomatic until late in life or may be present acutely with life threatening conditions.

Author Biographies

Sofia Marques Santos ,
Hospital Egas Moniz, CHLO EPE

Specialty trainee

Department of Internal Medicine

Eunice Oliveira ,
Hospital Egas Moniz, CHLO EPE

Specialty trainee

Department of Internal Medicine

Nuno Ferreira Monteiro ,
Hospital Egas Moniz, CHLO EPE

Specialty trainee

Department of Internal Medicine

Maria Manuela Soares ,
Hospital Egas Moniz, CHLO EPE

Consultant physician

Department of Internal Medicine

Alberto Mello e Silva ,
Hospital Egas Moniz, CHLO EPE

Consultant physician

Head of Department of Internal Medicine

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