Morgagni hernia - adult presentation

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

X-Ray showed right chest opacity.

Patient Data

Age: 30 years
Gender: Male

Large defect (5.3 cm in transverse length) in the anteromedial aspect of right hemidiaphragm with herniation of mesenteric fat and bowel loops into the right hemithorax. No abnormal bowel dilatation or strangulation.

The lungs are clear. No consolidation or atelectasis. No pleural effusion or pneumothorax.

Case Discussion

In absence of any significant history of trauma and injury, the features are typical for congenital diaphragmatic hernia (Morgagni type): right side, anterior and medial.

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