Obstructed Morgagni�s hernia in adult a surgical emergency a case report

DrSurajsinh Amarsinh Chauhan; Dr Rajesh patil; Dr Rahul V. Kandekar; DrShazia S. Malik; DrDharmesh J. Balsarkar; DrRohit O. mundhada

Volume : V, Issue : VI, June - 2016

Obstructed Morgagni�s hernia in adult a surgical emergency a case report

Drsurajsinh Amarsinh Chauhan, Dr Rajesh Patil, Dr Rahul V. Kandekar, Drshazia S. Malik, Drdharmesh J. Balsarkar, Drrohit O. Mundhada

Abstract :

 Diaphragmatic hernias of Morgagni were first described in 1769 as anatomical defects in the anterior diaphragm that allow herniation of abdominal viscera into the thorax. Most hernias of Morgagni can be asymptomatic and hence diagnosed late in the life that too as incidental finding. They are the rarest of congenital diaphragmatic hernias, making up 2–3% of cases. They usually present in childhood with respiratory symptomatology. Incidental findings of this condition in adults are less common. Symptomatic adult cases of Morgagni hernias are even rarer.We present a case of obstructed Morgagni hernia in 70 year female diagnosed on computed tomography. It highlights the difficulties in diagnosis; missed diagnosis can lead to life-threatening complications such as strangulation which warrants early surgical intervention. Although laparoscopy is suitable for certain cases, signs of bowel obstruction constitute a surgical emergency and an indication for laparotomy