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Morgagni hernia presented as sudden dyspnea in 70 years old man: a case report
Menawar Dajenah1, Anessa Thabet2, Faisal Ahmed3
1Department of General Surgery, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.
Abstract:
Diaphragmatic hernia is a structural defect caused by inadequate fusion of the pleuroperitoneal membrane of the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. The occurrence of Morgagni hernia in the adult is infrequent and almost asymptomatic. Symptomatic cases are even rarer, with a wide range of respiratory and gastrointestinal manifestations that make it difficult to diagnose. We present the case of a 70-year-old man with unexpected onset abdominal pain and respiratory distress. The chest computed tomography scan showed the right-side diaphragmatic Morgagni hernia. The defect was corrected through open surgical repair without complications. Within five months of the procedure, a follow-up radiograph revealed full recovery. This case should alert physicians to consider this diagnosis when faced with an unexpected manifestation of Morgagni hernia.
Insights
Morgagni hernia, a rare diaphragmatic defect, can present with unexpected abdominal and respiratory symptoms in adults. Surgical repair led to full recovery, highlighting the need for physician awareness of this condition.
Area of Science:
- Medical Case Reports
- Surgical Gastroenterology
- Thoracic Surgery
Background:
- Diaphragmatic hernias result from defects in the pleuroperitoneal membrane, allowing abdominal organs into the chest cavity.
- Morgagni hernias are uncommon in adults and often asymptomatic, complicating diagnosis.
Observation:
- A 70-year-old male presented with acute abdominal pain and respiratory distress.
- Computed tomography revealed a right-sided Morgagni hernia.
Findings:
- The patient underwent successful open surgical repair of the Morgagni hernia.
- Post-operative recovery was uneventful, with complete resolution of symptoms within five months.
Implications:
- This case underscores the importance of considering Morgagni hernia in adults with atypical presentations.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in symptomatic Morgagni hernias.
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