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CASE REPORTS
JOURNAL ARTICLE
REVIEW
Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia.
BMC Surgery 2015 Februrary 3
BACKGROUND: Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.
CASE PRESENTATION: Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
CONCLUSION: This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
CASE PRESENTATION: Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
CONCLUSION: This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
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