Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia

Abstract

BackgroundMorgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.Case presentationReview of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.ConclusionThis case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.

Dyspnoea and constipation: rare case of large bowel obstruction secondary to an incarcerated Morgagni hernia

“…Therefore, it often causes non-specific symptoms and can be difficult to accurately diagnose especially in the general practice setting. Missed diagnoses not only delay treatment and resolution of such symptoms but can risk more serious complications such as an acute abdomen due to bowel obstruction,1 4 gastric volvulus or even appendicitis 5…”

A Rare Case of Laparoscopic Repair of Simultaneously Occurring Morgagni and Paraesophageal Hernias

“…[5][6][7] Compared with traditional open surgical techniques, laparoscopic operation has become the main method to repair both MH and paraesophageal hernia, with the advantage of minimal invasiveness and fewer complications. The abdominal approach can provide excellent exposure to allow full exploration of the hernia sac and bilateral diaphragm, provide easier access when narrowing the hernia defect, and allow for simultaneously performing other procedures such as fundoplication.…”

“…[1][2][3][4][5][6] Within the six case reports, the hernias defect were repaired using laparoscopic techniques only in two cases. 4,5) Herein, we report a case of successful laparoscopic repair of concurring Morgagni and paraesophageal hernias.…”

Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children

“…[ 42 ] Rather interesting clinical case of acute appendicitis strangulated in the foramen of Morgagni in 76-year-old patient reported by Bettini et al . [ 43 ] Occasionally, asymptomatic CDHM presents with acute surgical condition as strangulated small bowel diverticulum,[ 44 ] organo-axial gastric volvulus inside hernia sac in 78-year-old female[ 45 ] or acute bowel loop strangulation in a 27-year-old pregnant woman on the 21 st gestation week. [ 46 ]…”