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

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 

References

  • Arora S, Haji A. Adult Morgagni hernia: the need for clinical awareness, early diagnosis and prompt surgical intervention. Ann R Coll Surg Eng 2008; 90:694–5.

  • Loong T, Kocher H. Clinical presentation and operative repair of hernia of Morgagni. Postgrad Med J 2005;81:41–4.

  • Daneshvar S, Shriki J, Sohn H, Rahimtoola SH. Morgagni-type diaphragmatic hernia presenting as an abnormal cardiac silhouette. Am J Med 2010;123:e11–2.

  • Marinceu D, Loubani M, O’Grady H. Late presentation of a large Morgagni hernia in an adult. BMJ Case Rep 2014;doi: 10.1136/bcr-2013-202440.

  • Komatsu T, Takahashi Y. Is this a mediastinal tumor? A case of Morgagni hernia complicated with intestinal incarceration mistaken for the mediastinal lipoma previously. Int J Surg Case Rep 2013;4:302–4.
  • Published: 2015-12-21

    Issue: Vol 3 No 1 (view)

    Section: Articles

    How to cite:
    Santos, S., Oliveira, E., Monteiro, N., Soares, M., & Mello e Silva, A. (2015). Large Morgagni Hernia in an Adult Patient. European Journal of Case Reports in Internal Medicine, 3(1). https://doi.org/https://doi.org/10.12890/2015_000322