Incidentally Detected Morgagni Diaphragmatic Hernia: A Case Report
Ghizlane Jaabouti *
Division of Pediatric Immuno Allergology and Infectious Diseases, Children University Hospital, Ibn Sina University Hospital, Rabat, Morocco.
Soumia Bencchakroun
Division of Pediatric Immuno Allergology and Infectious Diseases, Children University Hospital, Ibn Sina University Hospital, Rabat, Morocco.
Chafiq Mahraoui
Division of Pediatric Immuno Allergology and Infectious Diseases, Children University Hospital, Ibn Sina University Hospital, Rabat, Morocco.
Naima El Hafidi
Division of Pediatric Immuno Allergology and Infectious Diseases, Children University Hospital, Ibn Sina University Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Congenital diaphragmatic hernia is a rare condition caused by a congenital defect in the diaphragm, leading to the protrusion of abdominal organs into the thoracic cavity. It can be isolated (in 40% of cases) or associated with other malformations. In 85% of cases, it is located postero-laterally (Bochdalek hernia), and less commonly antero-laterally (Morgagni and Larrey hernias).
We report the case of a patient presenting a Morgagni hernia, which is a rare hernia that accounts for 1 to 6% of diaphragmatic hernias, and is usually asymptomatic and often discovered incidentally.
We present the case of an infant born from a well-monitored pregnancy, delivered vaginally, with a normal birth weight of 3200 grams and a normal Apgar score, and no neonatal respiratory distress. The infant was discharged after 24 hours and remained in good health.
At 6 months of age, the infant presented with acute viral bronchiolitis, and an incidental discovery of an antero-lateral congenital diaphragmatic hernia was made through a chest X-ray. The patient was stabilized and referred to the pediatric surgery department for management after successful treatment of the bronchiolitis.
Keywords: Morgagni diaphragmatic hernia, congenital diaphragmatic hernia, chest radiography