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Congenital Right Morgagni Hernia Presenting in an Adult–a Case Report

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Abstract

Patients with congenital diaphragmatic hernias (CDH) usually present in the neonatal period with respiratory distress. Delayed presentation of CDH in adults is rare and difficult to diagnose. We present a 42-year-old female patient who came with complaints of epigastric pain and breathlessness on exertion. X-ray and CT scan of the chest revealed a right-sided Morgagni hernia. The contents of the hernia were reduced and a primary tension free repair of the hernia defect was done through laparotomy. The postoperative course was uneventful. A strong clinical suspicion and good interpretation of radiological images help diagnose CDH which present late. Prompt surgical repair is mandatory and the outcomes are usually favorable. Primary repair is usually successful; however, mesh repair may be required for larger defects.

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Acknowledgments

I sincerely acknowledge the support rendered by the medical and paramedical staffs of Surakksha Multispecialty Hospital in successfully managing the patient.

Author’s Contributions

Santhanakrishnan C and Sastha A evaluated the patient. Sastha A performed the surgery and Santhanakrishnan C was the anesthesiologist. Sastha A did the literature review and prepared the drafts.

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Authors and Affiliations

  1. Department of Surgical Gastroenterology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamilnadu, India

    Sastha Ahanatha Pillai

  2. Department of Anaesthesiology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamilnadu, India

    Santhanakrishnan Chinnappan

  3. Surakksha Multispecialty Hospital, 264/148, Cherry Road, Near Mulluvadi Gate, Salem, 636001, India

    Sastha Ahanatha Pillai & Santhanakrishnan Chinnappan

Authors
  1. Sastha Ahanatha Pillai
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  2. Santhanakrishnan Chinnappan
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Correspondence to Sastha Ahanatha Pillai.

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The authors declare that they have no competing interests.

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Written informed consent was obtained from the patient for publication of this Case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Pillai, S.A., Chinnappan, S. Congenital Right Morgagni Hernia Presenting in an Adult–a Case Report. Indian J Surg 78, 238–240 (2016). https://doi.org/10.1007/s12262-015-1400-y

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  • DOI: https://doi.org/10.1007/s12262-015-1400-y

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