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Case report: MRI appearances of left sided Morgagni hernia containing liver

D A Collie1, C M Turnbull, T R Shaw

  • 1Department of Radiology, Western General Hospital, UK.

The British Journal of Radiology
|March 1, 1996
PubMed

Insights

Morgagni hernias are rare in adults and can mimic heart masses. This case highlights MRI as the best imaging method for diagnosing adult Morgagni hernias, especially when they contain liver tissue.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Radiology

Background:

  • Morgagni hernias, a congenital diaphragmatic defect, typically present in infancy with visceral herniation into the thorax.
  • While common in children, adult presentations are rare and often misdiagnosed as pericardial masses.

Observation:

  • A rare adult case of Morgagni hernia involving liver herniation is presented.
  • The herniated liver tissue significantly impeded standard cardiac imaging techniques like echocardiography and angiography.

Findings:

  • Magnetic Resonance Imaging (MRI) proved superior in delineating the Morgagni hernia and its contents.
  • This case underscores the diagnostic utility of MRI in complex adult diaphragmatic hernia cases.

Implications:

  • Highlights the importance of considering Morgagni hernia in adult differential diagnoses for cardiac or mediastinal masses.
  • Emphasizes MRI as a key imaging modality for accurate diagnosis and surgical planning in such rare adult presentations.

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