AN ELDERLY PATIENT WITH FINDINGS OF PNEUMONIA WAS FOUND TO HAVE INCIDENTAL MORGAGNI HERNIA
lntroduction: Congenital diaphragmat ic hernias are infreque ntly encountered in adult patients. A rare type of this hernia is the Morgagni's hernia. lf MH is normally congenital, it is considered a pediatric condition. However, it can be also o cur in adults.Case Report: Although they remain asymptomatic in a maj ority of patient s, here we present the case of a 83-year-o ld female patient presented to our with a sudd en onset of dyspnea, lack of oral intake,following abdominal pain and vomiting. İt is also the only morgagni herniated patient that comes with pneumonia findings in the literatureConclusion: Adults are asymptomatic and incidentally recognized. Some patient s m ay also have non-specific symptoms such as abdominal pain, respiratory failure. Delayed diagnosis; it may cause complications such as haemo rrhage, obstruction.
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- 1. Nasr A, Fecteau A. Foramen of Morgagni hernia: presentation and treatment. Thorac Surg Clin.
2009; 19:463-8.
- 2. Robinson PD, Fitzgerald DA. Congenital diaphragmatic hernia. Paediatr. Respir. Rev. 2007; 8:
323-35.
- 3. Pfannschmidt J, Hoffmann H, Dienemann H. Morgagni hernia in adults: results in 7 patients. Scand
J of Surg . 2004; 93: 77- 81.
- 4. Horton JD, Hofmann U, Hetz SP. Presentation and management of Morgagni hernias in adults: a
review of 298 cases. Surg Endosc. 2008; 22: 1413-20.
- 5. Harrington SW. Various types of diaphragmatic hernia treated surgically. Surg Gynecol Obstet
1848; 86:735.
- 6. Comer TP, Clagett OT. Surgical treatment of hernia of the foramen of Morgagni. J Thorac
Cardiovasc Surg 1966; 52:461-8.
- 7. Lev-Chelouche D, Ravid A, Michowitz M, Klausner JM , Kluger Y. Morgagni Hernia:Unique
presentations in elderly patients. J Clin Gastroenterol.1999; 28:81- 2.
- 8. Eren S, Gümüş H, Okur A. A rarecause of intestinal obstruction in the adult: Morgagni's hernia.
Hernia. 2003; 7:97-9.
- 9. Eren S, Çiris F. Diaphragmatic hernia: diagnostic approaches with review ofthe literature. Eur J
Radiol. 2005; 54:448-59.
- 10. Kuster GG, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni:
Laparoscopic repair case report. J Laparoendosc Surg. 2009; 2: 93-100.