Morgagni Hernia

Brian Belyea

Radiology Elective Block 8

February 27, 2004

• 6 week old male

• s/p bilateral inguinal hernia repair 2/6

• Discharged from hospital 2/7

• Presented to clinic 2/9 with wound infection and Temp 38.5

• Fever workup began in clinic

• Blood Cx, Urine Cx, LP performed

• PA and Lateral CXR were performed

• Follow CT scan performed 2/10

• All cultures negative x 48 hrs

• Patient d/c’d 2/11 on 5 day course Keflex

• Pt to follow up with pediatric surgeon for evaluation of Morgagni Hernia

Morgagni Hernia

• Rare congenital disorder (3-4% of CDH)

• Usually asymptomatic, may cause respiratory or gastrointestinal symptoms

• 30% diagnosed incidentally

• Most common symptoms are dyspnea and chest pain

• Complication is strangulation of gastrointestinal organs

• Diagnosis made radiographically – CT is best imaging method

• Treatment is elective surgery in order to prevent possible complications of strangulation

• Primary repair is done via abdominal or thoracic approach

• Kurkcuoglu, IC, et al. Diagnosis and Surgical Treatment of Morgagni Hernia: Report of Three Cases. Surgery Today, 2003. 33:525-528.