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Morgagni Hernia Causing Incarcerated Bowel and Contributing to Cardiac Arrest
Timothy B Morgan1, Don N Nguyen2, Cassie D Tran3
1Department of Internal Medicine, Augusta University, Augusta, GA.
Current Problems in Diagnostic Radiology
|August 29, 2018
Summary
Morgagni hernia, a rare congenital diaphragmatic defect, can remain undiagnosed until adulthood. This case highlights a 63-year-old male with cardiac arrest due to bowel incarcerated in the pericardial sac.
Area of Science:
- Cardiology
- Gastroenterology
- Thoracic Surgery
Background:
- Congenital diaphragmatic hernias (CDHs) are typically diagnosed neonatally due to severe cardiopulmonary compromise.
- Morgagni hernias, a subset of CDHs, often present atypically in adulthood, evading early detection.
Observation:
- A 63-year-old male presented with epigastric pain and emesis, leading to resuscitation from cardiac arrest.
- Computed tomography revealed incarcerated bowel within the pericardial sac, causing cardiac tamponade.
Findings:
- The patient had a Morgagni hernia with small bowel herniating into the pericardium.
- This rare presentation led to critical cardiac tamponade and subsequent cardiac arrest.
Implications:
- Morgagni hernias should be considered in adult patients with unexplained gastrointestinal and cardiac symptoms.
- Prompt surgical intervention is crucial for managing incarcerated Morgagni hernias to prevent life-threatening complications.
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