Morgagni's hernia

Congenital diaphragmatic hernias, including Morgagni s hernia, usually present in early childhood and are treated by surgical repair. This case report is about an unusual Morgagni s hernia, presenting with dyspepsia and chest pain, at the age of 45 years. For many years the diagnosis remained a dilemma because patient s chest x-ray was not done and she was treated for "angina " and "dyspepsia". Diagnosis was obvious once a chest x-ray was done, however, barium studies were performed for further confirmation.     

Morgagni's hernia

Morgagni's hernia is an uncommon type of diaphragmatic hernia. These patients usually present in childhood but sometimes later in life. We report a case of 75 years old female who presented with epigastric discomfort and vomiting. She was diagnosed as a case of calculous cholecystitis and was treated with antibiotics but was not relieved. Further investigations revealed Morgagni's hernia. She was successfully managed by open surgical technique.