Format

Send to

Choose Destination
BMC Surg. 2015 Feb 2;15:15. doi: 10.1186/1471-2482-15-15.

Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia.

Author information

1
UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. annabettini@gmail.com.
2
UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. jesus.ulloa@ucsfmedctr.org.
3
UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. Hobart.harris@ucsfmedctr.org.

Abstract

BACKGROUND:

Morgagni 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 PRESENTATION:

Review 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.

CONCLUSION:

This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.

PMID:
25644716
PMCID:
PMC4417238
DOI:
10.1186/1471-2482-15-15
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center