Morgagni HerniaBrian BelyeaRadiology Elective Block 8February 27, 2004

6 week old male

s/p bilateral inguinal hernia repair 2/6

Discharged from hospital 2/7

Presented to clinic 2/9 with wound infection and Temp 38.5

Fever workup began in clinic

Blood Cx, Urine Cx, LP performed

PA and Lateral CXR were performed

Follow CT scan performed 2/10

All cultures negative x 48 hrs

Patient d/cd 2/11 on 5 day course Keflex

Pt to follow up with pediatric surgeon for evaluation of Morgagni Hernia

Morgagni HerniaRare congenital disorder (3-4% of CDH)

Usually asymptomatic, may cause respiratory or gastrointestinal symptoms

30% diagnosed incidentally

Most common symptoms are dyspnea and chest pain

Complication is strangulation of gastrointestinal organs

Diagnosis made radiographically CT is best imaging method

Treatment is elective surgery in order to prevent possible complications of strangulation

Primary repair is done via abdominal or thoracic approach

Kurkcuoglu, IC, et al. Diagnosis and Surgical Treatment of Morgagni Hernia: Report of Three Cases. Surgery Today, 2003. 33:525-528.