Symptomatic congenital Morgagni hernia presenting as a dyspnea in elderly patient

Abstract

Morgagni’s hernia is a very uncommon congenital diaphragmatic hernia. A few patients may remain asymptomatic until adulthood. Clinical presentation may include bowel obstruction, chest pain or dyspnea. Here we present a case of symptomatic Morgagni hernia diagnosed in a 64 years' female. A 64-year-old female patient, go to the consultation with a private doctor due to 10 years of evolution of respiratory symptoms due to respiratory symptoms, whose thoracic computed tomography revealed a large Morgagni’s hernia, containing colon. She underwent an elective laparoscopic repair with mesh. Morgagni hernias are mostly diagnosed incidentally on a chest radiograph or can present with cardiorespiratory or abdominal symptoms. Our case was an adult who was diagnosed to have Morgagni hernia presenting with chest symptoms. The investigation of choice to diagnose and evaluate this condition is CT of chest and repair of hernia. Thoracic computed tomography is the best imaging study for its diagnosis. Laparoscopic repair is safe and allows symptomatic relief and incarceration risk reduction.