Joshua Muhumuza1, Denis Bitamazire2, Jethro Atumanyire3, Vivian Akello2, Franck Katembo Sikakulya2, ByaMungu Kagenderezo2. 1. Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala international University Western campus, Ishaka, Bushenyi, Uganda. Electronic address: joshuablessed7@gmail.com. 2. Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala international University Western campus, Ishaka, Bushenyi, Uganda. 3. Faculty of Medicine and Dentistry, Kampala international University Western campus, Ishaka, Bushenyi, Uganda.
Abstract
INTRODUCTION: Congenital diaphragmatic hernia (CDH) occurs in 1/2500 new-borns. Morgagni hernia (MH) is a very rare type of congenital diaphragmatic hernia found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. It accounts for approximately 3 % of all diaphragmatic hernias. Most of these hernias are recognised and treated in childhood however, a very small portion present in adults. CASE PRESENTATION: We present a 30 year old female who presented with intestinal obstruction and was found to have a MH with strangulated ileum at operation. Strangulated ileum was resected, primary anastomosis done and suture repair of the defect done. CONCLUSION: MH can present in adulthood and should be considered as a deferential diagnosis among patients presenting with mechanical intestinal obstruction with no obvious cause.
INTRODUCTION: Congenital diaphragmatic hernia (CDH) occurs in 1/2500 new-borns. Morgagni hernia (MH) is a very rare type of congenital diaphragmatic hernia found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. It accounts for approximately 3 % of all diaphragmatic hernias. Most of these hernias are recognised and treated in childhood however, a very small portion present in adults. CASE PRESENTATION: We present a 30 year old female who presented with intestinal obstruction and was found to have a MH with strangulated ileum at operation. Strangulated ileum was resected, primary anastomosis done and suture repair of the defect done. CONCLUSION: MH can present in adulthood and should be considered as a deferential diagnosis among patients presenting with mechanical intestinal obstruction with no obvious cause.
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