Korean J Gastroenterol.  2017 Jan;69(1):68-73. 10.4166/kjg.2017.69.1.68.

An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

• Kim DK
• Moon HS
• Jung HY
• Sung JK
• Gang SH
• Kim MH

• KMID: 2383434
• DOI: http://doi.org/10.4166/kjg.2017.69.1.68

Abstract

A Morgagni hernia was first described in 1761 by Giovanni Morgagni. In adults, it is accompanied by gastrointestinal- or respiratory-type symptoms. Herein, we report an 84-year-old woman presented to our hospital with nausea and vomiting. After hospitalization, an X-ray revealed a right diaphragmatic hernia. Based on the results of abdominal computed tomography, duodenoscopy, and upper gastrointestinography (gastrografin), we concluded that her symptoms were caused by Morgagni hernia. Our patient underwent laparoscopic surgery, and shortly thereafter, her symptoms resolved.

Keyword

Hernia, diaphragmatic; Dyspepsia; Laparoscopy

MeSH Terms

Adult
Aged*
Aged, 80 and over
Duodenoscopy
Dyspepsia*
Female
Hernia*
Hernia, Diaphragmatic
Hospitalization
Humans
Incidental Findings*
Laparoscopy
Nausea
Vomiting

Figure

• 

  Fig. 1. A chest X-ray displaying air and gas above the right diaphragm, indicating a diaphragmatic hernia.

• 

  Fig. 2. A CT scan showing a right diaphragmatic hernia, with small and large bowel contents in the right hemithorax.

• 

  Fig. 3. (A, B) Duodenoscopy showing a twisted stomach and duodenal bulb.

• 

  Fig. 4. (A, B) UGI (gastrografin) showing the bowel in an anterior area of the chest wall. UGI, upper gastrointestinal series.

Reference

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