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J Thorac Cardiovasc Surg 2008;135:212-213
© 2008 The American Association for Thoracic Surgery

Brief Communication

Hernia of Morgagni: Case report

Jared M. Huston, MD*, Heather King, MD, Alison Maresh, MD, David Liska, MD, Jeffrey L. Port, MD, Nasser K. Altorki, MD, Paul C. Lee, MD

Division of Thoracic Surgery, Department of Cardiothoracic Surgery, New York-Presbyterian Hospital/Weill Medical College of Cornell University, New York, NY.

Received for publication July 12, 2007; accepted for publication September 21, 2007.

* Address for reprints: Jared M. Huston, MD, Weill Medical College of Cornell University, New York Presbyterian Hospital, Division of Thoracic Surgery, Department of Cardiothoracic Surgery, 525 East 68th Street, New York, NY 10021. (Email: jah9013@nyp.org).

The first 20% of the full text of this article appears below.

Congenital diaphragmatic hernias are relatively rare, occurring in 0.02% to 0.05% of live births.1Go Morgagni hernia is the least common type of congenital diaphragmatic hernia and is often diagnosed incidentally in asymptomatic adults.2,3Go We present the case of a symptomatic 70-year-old woman with a large Morgagni hernia. She underwent primary hernia repair without mesh via an upper midline laparotomy. Her postoperative course was uncomplicated, and she was well at the 1-month follow-up.

Clinical Summary

A 70-year-old woman was found to have an abnormality on a chest radiogram before bladder surgery 10 years prior. A follow-up computed tomographic scan demonstrated a large, right-sided anterior diaphragmatic hernia of the Morgagni type, along with fibrotic and atelectatic changes of the right lung (Figure 1). The patient reported symptoms of dyspepsia, epigastric pain, and dyspnea on exertion for several years.


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  		Figure 1. Computed tomographic scan demonstrating a large diaphragmatic hernia with air-filled colon and omentum in the right chest . . . [Full Text of this Article]

 





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