Morgagni's hernia in a hypoxaemic adult

The patient was started on treatment for pneumonia, but a CT scan to rule out other causes showed a large incarcerated Morgagni hernia, characterised by a defect in the right anterior diaphragm with herniation of the omentum into the thorax, 22·6 cm at the widest point (figure). When otherwise well...

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Bibliographic Details
Published in:The Lancet (British edition) 2016-08, Vol.388 (10045), p.705-705
Main Authors: Humble, Adam G R, BSc, Sample, Cliff B, Dr
Format: Article
Language:English
Subjects:
Birth defects
Dyspnea - etiology
Female
Hernias
Hernias, Diaphragmatic, Congenital - complications
Hernias, Diaphragmatic, Congenital - diagnosis
Hernias, Diaphragmatic, Congenital - diagnostic imaging
Hernias, Diaphragmatic, Congenital - pathology
Humans
Hypoxia - etiology
Internal Medicine
Medical diagnosis
Middle Aged
Patients
Respiratory Tract Infections - complications
Respiratory Tract Infections - virology
Thorax
Tomography, X-Ray Computed
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Summary:The patient was started on treatment for pneumonia, but a CT scan to rule out other causes showed a large incarcerated Morgagni hernia, characterised by a defect in the right anterior diaphragm with herniation of the omentum into the thorax, 22·6 cm at the widest point (figure). When otherwise well patients present with prolonged shortness of breath, or a right cardiophrenic angle lesion is seen on chest radiograph, physicians should consider the diagnosis of a diaphragmatic hernia.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(16)00150-1