Chronic epigastric pain revealing a left-sided Morgagni hernia in a young adult female: A case report from Central India.

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.