Morgagni Hernia

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Morgagni Hernia

• Brian Belyea
• Radiology Elective Block 8
• February 27, 2004

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• 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

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• Fever workup began in clinic
• Blood Cx, Urine Cx, LP performed
• PA and Lateral CXR were performed

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• Follow CT scan performed 2/10

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• All cultures negative x 48 hrs
• Patient d/cd 2/11 on 5 day course Keflex
• Pt to follow up with pediatric surgeon for
  evaluation of Morgagni Hernia

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Morgagni Hernia

• Rare congenital disorder (3-4 of CDH)
• Usually asymptomatic, may cause respiratory or
  gastrointestinal symptoms
• 30 diagnosed incidentally

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• Most common symptoms are dyspnea and chest pain
• Complication is strangulation of gastrointestinal
  organs
• Diagnosis made radiographically CT is best
  imaging method

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• 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. 33525-528.

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