1. Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004

2. 6 week old male s/p bilateral inguinal hernia repair 2/6 Discharged from hospital 2/7 Presented to clinic 2/9 with wound infection and Temp 38.5

3. Fever workup began in clinic Blood Cx, Urine Cx, LP performed PA and Lateral CXR were performed

6. Follow CT scan performed 2/10

14. All cultures negative x 48 hrs Patient d/c’d 2/11 on 5 day course Keflex Pt to follow up with pediatric surgeon for evaluation of Morgagni Hernia

15. Morgagni Hernia Rare congenital disorder (3-4% of CDH) Usually asymptomatic, may cause respiratory or gastrointestinal symptoms 30% diagnosed incidentally

16. Most common symptoms are dyspnea and chest pain Complication is strangulation of gastrointestinal organs Diagnosis made radiographically – CT is best imaging method

17. Treatment is elective surgery in order to prevent possible complications of strangulation Primary repair is done via abdominal or thoracic approach Kurkcuoglu, IC, et al. Diagnosis and Surgical Treatment of Morgagni Hernia: Report of Three Cases. Surgery Today, 2003. 33:525-528.