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Published on: September 11, 2021
Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia
Anna Bettini1, Jesus G Ulloa2, Hobart Harris3
1UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. annabettini@gmail.com.
Background:
Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.
Case Presentation:
Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
Conclusion:
This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
Insights
Morgagni hernia, a rare congenital defect, can present with appendicitis in adults. This case highlights the need for surgical intervention, not watchful waiting, for symptomatic Morgagni defects.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Abnormalities
Background:
- Morgagni hernia is a rare congenital diaphragmatic defect.
- Symptomatic presentation in adults is uncommon.
- Appendicitis can be a unique presentation of incarcerated bowel in a Morgagni defect.
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