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Case Reports
. 2016 Jul 18;2016(7):rjw126.
doi: 10.1093/jscr/rjw126.

Morgagni hernia presenting as gastric outlet obstruction in an elderly male

A Kumar  1 , R S Bhandari  2
Affiliations
Case Reports

Morgagni hernia presenting as gastric outlet obstruction in an elderly male

A Kumar et al. J Surg Case Rep. .

Abstract

Morgagni hernia is the rarest of all congenital diaphragmatic hernias, first described in 1769. It is rarely symptomatic and found on routine radiological examinations for other conditions. Gastric outlet obstruction in adults with Morgagni Hernia is exceedingly rare. An 80-year-old man was taken to the operating room with a diagnosis of Morgagni hernia with gastric outlet obstruction. An upper midline laparotomy was performed, and the incarcerated pylorus and antrum of the stomach reduced with primary closure of the defect. Postoperative period was uneventful, and the patient was discharged on the sixth postoperative day. Morgagni hernia is exceedingly rare in adults and may present with gastric outlet obstruction in the emergency room. This clinical entity should be kept in mind while evaluating the patient, and early surgical intervention should be initiated.

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Figures

Figure 1:
Figure 1:
Preoperative chest X-ray.
Figure 2:
Figure 2:
Preoperative axial CT images.
Figure 3:
Figure 3:
Preoperative coronal/sagittal CT images.
Figure 4:
Figure 4:
Intraoperative findings.
Figure 5:
Figure 5:
Post repair.
Figure 6:
Figure 6:
Postoperative X-ray.
See this image and copyright information in PMC

References

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