Morgagni hernia presenting with unexplained hypotension and dyspnea: A case report on successful open surgical repair

Orhan Aslan; Turker Kaymak; Mehmet Oguzhan Polat; Elif Yigit Kaymak; Askin Kadir Percem

doi:10.5281/zenodo.18009138

Authors

Orhan Aslan Department of General Surgery, Faculty of Medicine, Hitit University, Corum, Turkey https://orcid.org/0000-0002-1982-0792
Turker Kaymak Department of General Surgery, Faculty of Medicine, Hitit University, Corum, Turkey https://orcid.org/0009-0006-8367-1943
Mehmet Oguzhan Polat Department of General Surgery, Faculty of Medicine, Hitit University, Corum, Turkey https://orcid.org/0009-0004-4725-7425
Elif Yigit Kaymak Department of General Surgery, Faculty of Medicine, Hitit University, Corum, Turkey https://orcid.org/0009-0007-1873-0123
Askin Kadir Percem Department of Gastroenterology Surgery, Hitit University Erol Olçok Training and Research Hospital, Corum, Turkey https://orcid.org/0000-0002-6726-2422

DOI:

https://doi.org/10.5281/zenodo.18009138

Keywords:

Morgagni hernia, Adult hypotension, Surgical repair

Abstract

Objective: Morgagni hernias are rare congenital diaphragmatic defects, representing a small subset of all diaphragmatic hernias. They are often diagnosed incidentally or through vague, non-specific symptoms in adulthood.

Case presentation: We report the case of a 75-year-old female who presented with hypotension, generalized weakness, and dyspnea. Thoracoabdominal computed tomography (CT) revealed a right-sided Morgagni hernia. She underwent open surgical repair with reduction of the herniated contents and placement of a dual mesh to reinforce the diaphragmatic defect. Her postoperative course was uneventful, and the hypotension resolved completely following surgery.

Conclusion: This case highlights the importance of including diaphragmatic hernia in the differential diagnosis of unexplained hypotension and dyspnea in elderly patients. It also supports the effectiveness of mesh-reinforced open surgical repair in appropriately selected cases.

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