[Massive Morgagni Hernia as a Reason for Lung Function Impairment]

Area of Science:

• Thoracic Surgery
• Gastroenterology
• Pediatric Surgery

Background:

• Morgagni hernia is the rarest congenital diaphragmatic hernia (2-3%).
• Adult presentation is often non-specific, but severe cases cause shortness of breath and restrictive lung patterns.

Observation:

• A rare case of a massive, long-undiagnosed right-sided Morgagni hernia is presented.
• The patient experienced symptoms including shortness of breath and reduced lung function.

Findings:

• Laparoscopic transabdominal repair was successfully performed.
• Postoperative lung expansion improved, leading to better lung function and blood gas analysis.

Implications:

• Laparoscopic repair is a favored approach for adult Morgagni hernias, especially non-acute cases.
• Early diagnosis and surgical intervention can significantly improve patient outcomes and quality of life.