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Published on: April 17, 2019
Morgagni's hernia
Niaz Hussain1, Syed Waqar Ahmed, Tanveer Ahmed
1Department of Thoracic Surgery, Jinnah Postgraduate Medical Centre, Karachi. soomroniaz@yahoo.com
Abstract:
Morgagni's hernia is an uncommon type of diaphragmatic hernia. These patients usually present in childhood but sometimes later in life. We report a case of 75 years old female who presented with epigastric discomfort and vomiting. She was diagnosed as a case of calculous cholecystitis and was treated with antibiotics but was not relieved. Further investigations revealed Morgagni's hernia. She was successfully managed by open surgical technique.
Insights
Morgagni hernia, a rare diaphragmatic defect, can manifest in adulthood. This case highlights a 75-year-old woman successfully treated for this condition via open surgery.
Area of Science:
- Gastroenterology
- Surgical Case Report
- Abdominal Surgery
Background:
- Morgagni hernia is a rare congenital diaphragmatic anomaly, typically presenting in infancy.
- Adult presentation is infrequent, often leading to delayed diagnosis.
Observation:
- A 75-year-old female presented with epigastric discomfort and vomiting.
- Initial diagnosis of calculous cholecystitis was unresponsive to antibiotic treatment.
Findings:
- Further investigations confirmed the presence of Morgagni hernia.
- The patient underwent successful open surgical repair.
Implications:
- This case underscores the importance of considering rare diagnoses in adult patients with persistent gastrointestinal symptoms.
- Open surgery remains a viable option for managing Morgagni hernia in adults.
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