A Rare Case of Morgagni Hernia - A Case Report

Morgagni hernia is one of the Congenital Diaphragmatic Hernias. It is characterized by herniation through foramen of Morgagni (retroxiphoid space on the right). When compared to Bochdalek?s, Morgagni hernia is anterior, right-sided, small and rare. Only about 30% of patients are symptomatic. Newborns present with respiratory distress. Additionally, recurrent chest infections and gastrointestinal symptoms have been reported in those with previously undiagnosed Morgagni hernia. Here, I am presenting a video on a rare case of Morgagni hernia in a 65 year old female patient with history of breathlessness since 15 days with no gastro-intestinal symptoms or obstruction. Ultrasonograpy did not help to aid diagnosis. Chest X ray was the diagnostic investigation which showed hernia with bowel loops in the chest along with auscultatory clinical finding of bowel sounds in the right chest. On Diagnostic laparoscopy there was evidence of herniation of small bowel loops and omentum in the right chest. The defect was around 6 cm. Sac was identified and contents were reduced. Adhesinolysis done. Diaphragmatic defect closed using Prolene 1-0 RB. PROCEED composite mesh was placed at the defect and fixed using Prolene 2-0 RB and securestrap used for additional fixity. Post operative recovery was uneventful. Patient was discharged on post operative day 3 on full diet without any complications. Conclusion: Morgagni Hernia can be treated easily using laparoscopic approach.