Strangulated Morgagni hernia in an adult: Synchronous prolapse of the liver and transverse colon

Morgagni hernia (MH) is a very rare congenital defect found in the anterior aspect of the diaphragm between the costal and sternal portions of the muscle. The most common defect is congenital diaphragmatic hernia, 90% of which are Bochdalek type. MHs account for approximately 3% of all diaphragmatic hernias. Most MHs are found and repaired in children, but 5% are found in adults. Here, we present the case of an incarcerated and strangulated MH with synchronous prolapse of the liver and transverse colon in a 77-year-old man who was admitted to our hospital for abdominal pain and symptoms of intestinal obstruction.

Bir yetiþkinde strangüle Morgagni hernisi: Karaciðer ve enine kolonun eþ zamanlý prolapsusu

Morgagni hernisi (MH) kasýn kostal ve sternal bölümleri arasýnda diyafragmanýn ön yüzünde çok seyrek saptanan doðuþtan bir defekttir. En sýk görülen defekt doðuþtan diyafragma hernisi %90 oranýnda Bochdalek tipidir. MH’leri tüm diyafragmatik hernilerin aþaðý yukarý %90’ýný oluþturur. MH’lerin çoðu çocuklarda bulunur ve onarýlýr, ancak %5’i eriþkinlerdedir. Burada, enkansere ve strangüle MH ile eþ zamanlý karaciðer ve enine kolon düþüklüðü olan ve karýn aðrýsý ve intestinal obstrüksiyon semptomlarýyla hastanemize kabul edilmiþ 77 yaþýndaki bir erkek hastayý sunuyoruz.