Saad Qayyum, Muhammad Rizwan Ullah, Zahra Shafi.
Morgagni’s Hernia Presenting with Gastric Outlet Obstruction in a Young Girl.
Pak J Med Health Sci Jan ;12(3):1195-7.

This is the case report of a young girl, who presented to us with history of epigastric pain and persistent vomiting , initially admitted with suspicion of peptic ulcer disease /gastric outlet obstruction , however , later on imaging, it turned out to be gastric and duodenal herniation through diaphragm , which was later affirmed on laparotomy. Hernia of Morgagni, a rare form of congenital diaphragmatic hernia , may present early in life with respiratory symptomatology but usually is an incidental finding in adulthood. However though rare, it could present with obstructing, even strangulating symptoms of herniated viscera. Treatment primarily focuses on reduction of herniated contents and sealing the vent in diaphragm. Reason for reporting this case is that a misdiagnosis on part of surgeon can lead to considerable morbidity and occasional mortality.

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