A Rare Reason of Dyspnea in an Elderly Patient

Aims: Morgagni hernia is a rare congenital diaphragmatic hernia in an adult. The issue of Morgagni Hernia, which was difficult for surgical selection, was tried to be explained with articles. It was presented because it is scarce in adults.

Presentation: A 76-year-old woman, admitted to our clinic with dyspnea had typical cardiorespiratory symptoms, dyspnea, tachypnea, tachycardia, fatigue, constipation, due to Morgagni hernia sac pressure. Her body mass index was 35. On x-ray and computed tomography scans of the thorax revealed intestines were full in the left hemithorax and anterior mediastinum. The primary diaphragmatic repair was performed through a posterolateral thoracotomy. No mortality or morbidity has occurred.

In this study, diagnosis of Morgagni hernia, preoperative and postoperative approach, and operation were discussed. Discussion: Surgical treatment of Morgagni hernia with thoracotomy is a safe method in elderly and obese patients.