An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

Duk Ki Kim; Hee Seok Moon; Hyeon Yong Jung; Jae Kyu Sung; Sun Hyeong Gang; Myeong Hee Kim

doi:10.4166/kjg.2017.69.1.68

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Kim, Moon, Jung, Sung, Gang, and Kim: An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

Case Report

Korean J Gastroenterol 2017;69(1):68-73.

Published online: 4 October 2017

DOI: https://doi.org/10.4166/kjg.2017.69.1.68

An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia

Duk Ki Kim, Hee Seok Moon, Hyeon Yong Jung, Jae Kyu Sung, Sun Hyeong Gang, Myeong Hee Kim

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chungnam National University of Medicine, Daejeon, Korea

Correspondence to: Hee Seok Moon, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chungnam National University of Medicine, 266 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: +82-42-280-7143, Fax: +82-42-257-5753, E-mail: mhs1357@cnuh.co.kr

Received 14 October 2016 Revised 13 November 2016 Accepted 5 December 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A Morgagni hernia was first described in 1761 by Giovanni Morgagni. In adults, it is accompanied by gastrointestinal- or respiratory-type symptoms. Herein, we report an 84-year-old woman presented to our hospital with nausea and vomiting. After hospitalization, an X-ray revealed a right diaphragmatic hernia. Based on the results of abdominal computed tomography, duodenoscopy, and upper gastro-intestinography (gastrografin), we concluded that her symptoms were caused by Morgagni hernia. Our patient underwent laparoscopic surgery, and shortly thereafter, her symptoms resolved.

Keywords: Hernia, diaphragmatic, Dyspepsia, Laparoscopy

References

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Fig. 1.

A chest X-ray displaying air and gas above the right diaphragm, indicating a diaphragmatic hernia.

Fig. 2.

A CT scan showing a right diaphragmatic hernia, with small and large bowel contents in the right hemithorax.

Fig. 3.

(A, B) Duodenoscopy showing a twisted stomach and duodenal bulb.

Fig. 4.

(A, B) UGI (gastrografin) showing the bowel in an anterior area of the chest wall. UGI, upper gastrointestinal series.

Table 1.

Characteristics of Cases of Morgagni Hernia Cancer Reported in Korea

Author (year)	Sex	Age	Chief complaint	Involved organ	Treatment
Kim et al.¹⁴ 1–2 (2015)	F	75 y	Dyspnea on exertion	Heart (compressing the left atrium)	Not mentioned
Kim et al.¹⁴ 1–1 (2015)	F	71 y	Back pain	Heart (compressing the left atrium, Echogenic mass on the right atrium)	Open repair
Kim et al.¹⁴ 1–3 (2015)	F	28y	Abnormal finding on X-ray	Heart (hypoechoic mass on the right atrium)	Not mentioned
Bae et al.¹⁵ (2012)	M	45 d	Irritability	Transverse colon	Laparoscopic repair
Lee and Kim¹⁶ (2011)	M	70 y	Cough	Lung	Open repair
Ra et al.¹⁷ (2011)	F	12 y	Abnormal finding on X-ray	Omentum	Laparoscopic repair
Kim et al.¹⁸ (2009)	F	65 y	Epigastric pain	Transverse colon	Open repair
Kim et al.¹⁹ (2008)	F	88 y	Vomiting	Transverse colon	Laparoscopic repair
Kim et al.²⁰ (2008)	M	74 y	Abdominal pain	Small bowel	Open repair
This case	F	84 y	Dyspepsia	Transverse colon	Laparoscopic repair

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