Gastroduodenal Obstruction From Morgagni Hernia in an Elderly Patient

Laura Borodyansky Dodis, MD; Michael William Bennett, MD, MB BCh BAO, PhD, MRCPI; David L. Carr-Locke, MD, FRCPSeries Editor: David L. Carr-Locke, MD, FRCP


December 15, 2005


Diaphragmatic hernias can occur through congenital openings or acquired defects. The most common diaphragmatic hernias in the adult population are sliding hiatal hernias, whereby the stomach is displaced above the diaphragm through the esophageal hiatus.[1] In Morgagni hernias, a rare form of congenital hernia, abdominal contents are herniated through an anterior-medial defect on the diaphragm into the chest cavity.[2] We present a case of chronic gastroduodenal obstruction from Morgagni hernia with diagnostic radiographic findings but equivocal endoscopic presentation.