Journal of minimal access surgery · 2026
Chronic epigastric pain revealing a left-sided Morgagni hernia in a young adult female: A case report from Central India.
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Chhetri Kartikeya, Verma Monesh, Kumar Abhishek
Аннотация
BACKGROUND: Diaphragmatic hernias in adults are rare and often present with non-specific gastrointestinal or respiratory symptoms, leading to delayed diagnosis. Morgagni hernias (MHs), in particular, may remain asymptomatic for years.
CASE PRESENTATION: A 24-year-old female from a rural area presented with a 3-year history of intermittent dull aching epigastric and left hypochondrial pain. Chest X-ray suggested a left-sided diaphragmatic hernia, confirmed on contrast-enhanced computed tomography (CT) as herniation of the transverse colon into the thoracic cavity, consistent with a left-sided MH.
MANAGEMENT: The patient was referred for elective surgical repair.
CONCLUSION: Adult diaphragmatic hernias can present with chronic, non-specific gastrointestinal and respiratory symptoms, often leading to misdiagnosis. Imaging modalities, particularly CT scans, are critical for accurate diagnosis. Early surgical intervention is recommended to avoid potentially serious complications.
CASE PRESENTATION: A 24-year-old female from a rural area presented with a 3-year history of intermittent dull aching epigastric and left hypochondrial pain. Chest X-ray suggested a left-sided diaphragmatic hernia, confirmed on contrast-enhanced computed tomography (CT) as herniation of the transverse colon into the thoracic cavity, consistent with a left-sided MH.
MANAGEMENT: The patient was referred for elective surgical repair.
CONCLUSION: Adult diaphragmatic hernias can present with chronic, non-specific gastrointestinal and respiratory symptoms, often leading to misdiagnosis. Imaging modalities, particularly CT scans, are critical for accurate diagnosis. Early surgical intervention is recommended to avoid potentially serious complications.