Table of Contents
ISRN Pulmonology
Volume 2011 (2011), Article ID 409252, 4 pages
http://dx.doi.org/10.5402/2011/409252
Review Article

Late-Presenting Left-Sided Morgagni Congenital Diaphragmatic Hernia in a 9-Year-Old Male

1Department of Pediatrics, University of South Florida, Tampa, FL 33606, USA
2Division of Pulmonary, Department of Pediatrics, University of South Florida, Tampa, FL 33606, USA

Received 30 May 2011; Accepted 20 June 2011

Academic Editors: A. Altraja, A. Celi, and N. P. Juffermans

Copyright © 2011 Jennifer M. Kim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Congenital diaphragmatic hernias are common, primarily occurring through the foramen of Bochdalek. However, in contrast, defects through the foramen of Morgagni are much more rare. When late presentations occur, patients may be asymptomatic or may be critically ill with respiratory and gastrointestinal symptoms. In this paper, we present a 9-year-old male who presented with recurrent, vague abdominal pain, and a previously normal abdominal CT scan. Initial investigation via an abdominal radiograph demonstrated an unexpected left lower lobe abnormality. Further evaluation and management revealed this abnormality to be an unusual left-sided congenital diaphragmatic hernia that appeared through the retrosternal foramen of Morgagni, a rare occurrence.