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

Korean J Gastroenterol. 2017 Jan 25;69(1):68-73. doi: 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.

Keywords: Dyspepsia; Hernia, diaphragmatic; Laparoscopy.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Diatrizoate Meglumine / chemistry
  • Duodenoscopy
  • Dyspepsia / complications
  • Dyspepsia / diagnosis*
  • Female
  • Hernias, Diaphragmatic, Congenital / complications
  • Hernias, Diaphragmatic, Congenital / diagnosis*
  • Hernias, Diaphragmatic, Congenital / diagnostic imaging
  • Humans
  • Laparoscopy
  • Nausea / etiology
  • Tomography, X-Ray Computed
  • Vomiting / etiology

Substances

  • Diatrizoate Meglumine