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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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References

  1. Kesieme EB, Kesieme CN (2011) Congenital diaphragmatic hernia: review of current concept in surgical management. ISRN Surg 2011:974041

    Article  PubMed  PubMed Central  Google Scholar 

  2. Lee EJ, Lee SY (2010) “Fluid” shift on chest radiography: Bochdalek hernia. CMAJ 182:E311–E312

    Article  PubMed  PubMed Central  Google Scholar 

  3. Singh TC, Singh CG, Lamare KN, Babitha N, Kharnaior A (2015) Congenital diaphragmatic hernia in adult presenting with obstruction: a rare case. Int J Sci Stud 2(10):142–145

    Google Scholar 

  4. Elhalaby EA, Abo Sikeena MH (2002) Delayed presentation of congenital diaphragmatic hernia. Pediatr Surg Int 18(5–6):480–485

    Article  PubMed  Google Scholar 

  5. Ghafri MA, Sidairi IA, Nayar M (2014) Late presentation of congenital diaphragmatic hernia: a case report. Oman Med J 29(3):232–233

    Article  PubMed Central  Google Scholar 

  6. Slavotinek AM, Warmerdam B, Lin AE et al (2007) Population based analysis of left- and right-sided diaphragmatic hernias demonstrates different frequencies of selected additional anomalies. Am J Med Genet A 143A:3127–3136

    Article  PubMed  Google Scholar 

  7. Yap KH, Jones M (2013) Late presentation of congenital diaphragmatic hernia after a diagnostic laparoscopic surgery (a case report). J Cardiothorac Surg 8:8

    Article  PubMed  PubMed Central  Google Scholar 

  8. Pironi D, Palazzini G, Arcieri S, Candioli S, Manigrasso A, Panarese A et al (2008) Laparoscopic diagnosis and treatment of diaphragmatic Morgagni hernia. Case report and review of the literature. Ann Ital Chir 79:29–36

    PubMed  Google Scholar 

Download references

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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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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