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Case Reports
. 2017 Mar 10;3(3):20160110.
doi: 10.1259/bjrcr.20160110. eCollection 2017.

Symptomatic bilateral Morgagni diaphragmatic hernias in an elderly patient

Cathal O'Brien  1 , J Craig Jobling  1
Affiliations
Case Reports

Symptomatic bilateral Morgagni diaphragmatic hernias in an elderly patient

Cathal O'Brien et al. BJR Case Rep. .

Abstract

We present a rare case of bilateral Morgagni hernias in an elderly female patient. She initially presented with coffee-ground vomiting and underwent an OGD from which she was given a diagnosis of oesophagitis. On her second presentation (a year later), CT was performed after OGD to evaluate what was thought to be a complex hiatus hernia causing haematemesis, at which point a diagnosis of bilateral Morgagni hernias was made. Surgical management with laparoscopic mesh repair was performed and she made an uneventful recovery.

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Figures

Figure 1.
Figure 1.
CT images demonstrating (a) herniation of small bowel and mesentery through the right diaphragmatic defect (arrowhead); (b) stomach herniating through the left defect (arrowhead). Both the right (arrowhead) and left (arrow) diaphragmatic defects are demonstrated together in (c) axial and (d) coronal planes.
See this image and copyright information in PMC

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