Right-sided Congenital Diaphragmatic Hernia (Morgagni Hernia)- A Rare Clinical Manifestation in an Adult

Abstract

Congenital Diaphragmatic Hernia (CDH), usually presents in the childhood period. It presents as an idiopathic human malformation. It is a condition, where the organs of the abdomen enter the thorax due to a defect in the diaphragm, that is, herniation from the pleuroperitoneal fistula. Morgagni hernias are commonly incidentally diagnosed on a chest radiograph or a patient may have cardiorespiratory or abdominal symptoms. Repair of hernia without the use of mesh is advised in asymptomatic cases also due to feared complications like strangulation and incarceration. The treatment of Morgagni Hernia is primary surgical repair which can be done either transthoracically or transabdominally. It is advised that, surgical repair should be done even in asymptomatic cases. The present case report is about a 66-year-old female patient with a right-sided Morgagni hernia, who presented with abdominal pain and vomiting. Since the patient was symptomatic, surgical approach was preferred and she underwent laparoscopic abdominal surgery which was converted to open abdominal approach. Postoperatively, the patient recovered from her symptoms and had no complications.

Keywords

• anteromedial subcostosternal defects
• omentum
• transverse colon