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Foreign Body Ingestion Ending Up in Late-Presenting Morgagni Hernia Diagnosis: A Case Report

Elisavet Kanna1, Zoi Lamprinou1, Ioannis Skondras1

  • 12nd Pediatric Surgery Department, Panagiotis & Aglaia Kyriakou Childrens' Hospital, Athens, GRC.

Cureus
|August 5, 2024
PubMed

Insights

Morgagni hernia (MH), a rare congenital diaphragmatic hernia (CDH), can present late with vague symptoms. This case highlights MH diagnosis in a child via imaging after foreign body ingestion, successfully treated with laparoscopic surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Morgagni hernia (MH), a rare congenital diaphragmatic hernia (CDH), involves an anterior diaphragmatic defect.
  • Late diagnosis of MH often presents with nonspecific gastrointestinal or respiratory symptoms.
  • Incidental detection during imaging for unrelated issues, like foreign body ingestion, is common.

Observation:

  • A two-year-old boy presented with severe abdominal pain and a history of foreign body ingestion.
  • Diagnostic imaging, including chest radiograph and CT scan, revealed a Morgagni-type diaphragmatic defect.
  • The patient's symptoms were attributed to the delayed diagnosis of the congenital diaphragmatic hernia.

Findings:

  • Laparoscopic surgical repair was successfully performed for the Morgagni hernia.
  • The patient experienced an uncomplicated postoperative course.
  • Favorable long-term outcomes were achieved following surgical intervention.

Implications:

  • This case underscores the importance of considering MH in pediatric patients with vague abdominal or respiratory symptoms, especially with a history of foreign body ingestion.
  • Early and accurate diagnosis through appropriate imaging is crucial for timely surgical management of MH.
  • Laparoscopic repair offers a safe and effective treatment option for Morgagni hernias, leading to positive patient outcomes.
Keywords:
childrencongenital diaphragmatic herniaforeign body ingestion treatmentlaparoscopic repairlate presentationthoracoscopic surgery

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