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Delayed presentation of bilateral Morgagni's hernia in a child with Down's Syndrome.

Ahmed H Al-Salem1, Hussan A Khawaher

  • 1Division of Pediatric Surgery, Department of Surgery, Qatif Central Hospital, PO Box 18432, Qatif 31911, Kingdom of Saudi Arabia. asalem56@hotmail.com

Saudi Medical Journal
|April 9, 2002
PubMed
Summary

This case report highlights a rare instance of delayed bilateral Morgagni's hernia in a child with Down syndrome. A normal chest X-ray does not rule out this condition, even when present on both sides.

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Area of Science:

  • Pediatric Surgery
  • Medical Imaging
  • Genetics

Background:

  • Morgagni's hernia is a rare congenital diaphragmatic hernia.
  • It can present with varied symptoms and may be associated with genetic syndromes.
  • Delayed diagnosis can occur, particularly in bilateral cases.

Observation:

  • A 13-month-old girl with Down syndrome presented with delayed symptoms of bilateral Morgagni's hernia.
  • Initial chest X-rays were normal, underscoring diagnostic challenges.
  • The case involved a rare bilateral presentation of this condition.

Findings:

  • Bilateral Morgagni's hernia can present late, even after a normal initial chest X-ray.
  • Down syndrome is noted as a potential associated condition.

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  • The varied clinical presentations of Morgagni's hernia are discussed.

    • Implications:

    • Clinicians should maintain a high index of suspicion for Morgagni's hernia, irrespective of prior imaging.
    • This case emphasizes the importance of considering rare diagnoses in children with Down syndrome.
    • Further research into the association between Morgagni's hernia and genetic syndromes is warranted.