Morgagni hernia

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Chest pain.

Patient Data

Age: 40 years
Gender: Male
ct
This study is a stack
Axial lung
window
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

A 4 cm defect is present in the anteromedial aspect of right hemidiaphragm allowing intrathoracic herniation of omental fat and a segment of the transverse colon.

A few small scattered pulmonary nodules measure less than 4 mm.

Case Discussion

Features are consistent with Morgagni hernia containing transverse colon.

Morgagni hernias most often contain omental fat, but transverse colon (60%) or stomach (12%) may be included within the hernia.

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