Journal List > Korean J Gastroenterol > v.69(1) > 1007669

Kim, Moon, Jung, Sung, Gang, and Kim: An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

Abstract

A Morgagni hernia was first described in 1761 by Giovanni Morgagni. In adults, it is accompanied by gastrointestinal- or respiratory-type symptoms. Herein, we report an 84-year-old woman presented to our hospital with nausea and vomiting. After hospitalization, an X-ray revealed a right diaphragmatic hernia. Based on the results of abdominal computed tomography, duodenoscopy, and upper gastro-intestinography (gastrografin), we concluded that her symptoms were caused by Morgagni hernia. Our patient underwent laparoscopic surgery, and shortly thereafter, her symptoms resolved.

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Fig. 1.
A chest X-ray displaying air and gas above the right diaphragm, indicating a diaphragmatic hernia.
kjg-69-68f1.tif
Fig. 2.
A CT scan showing a right diaphragmatic hernia, with small and large bowel contents in the right hemithorax.
kjg-69-68f2.tif
Fig. 3.
(A, B) Duodenoscopy showing a twisted stomach and duodenal bulb.
kjg-69-68f3.tif
Fig. 4.
(A, B) UGI (gastrografin) showing the bowel in an anterior area of the chest wall. UGI, upper gastrointestinal series.
kjg-69-68f4.tif
Table 1.
Characteristics of Cases of Morgagni Hernia Cancer Reported in Korea
Author (year) Sex Age Chief complaint Involved organ Treatment
Kim et al.14 1–2 (2015) F 75 y Dyspnea on exertion Heart (compressing the left atrium) Not mentioned
Kim et al.14 1–1 (2015) F 71 y Back pain Heart (compressing the left atrium, Echogenic mass on the right atrium) Open repair
Kim et al.14 1–3 (2015) F 28y Abnormal finding on X-ray Heart (hypoechoic mass on the right atrium) Not mentioned
Bae et al.15 (2012) M 45 d Irritability Transverse colon Laparoscopic repair
Lee and Kim16 (2011) M 70 y Cough Lung Open repair
Ra et al.17 (2011) F 12 y Abnormal finding on X-ray Omentum Laparoscopic repair
Kim et al.18 (2009) F 65 y Epigastric pain Transverse colon Open repair
Kim et al.19 (2008) F 88 y Vomiting Transverse colon Laparoscopic repair
Kim et al.20 (2008) M 74 y Abdominal pain Small bowel Open repair
This case F 84 y Dyspepsia Transverse colon Laparoscopic repair
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