When pneumonia becomes a double congenital diaphragmatic hernia

Goulart, André; Torrão, Helena; Leão, Pedro

doi:10.1136/bcr-2014-208988

Cited by 2 publications

(1 citation statement)

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“…A Morgagni hernia should be considered as a potential diagnosis in the case of acute respiratory failure, intermittent abdominal pain and chest X-ray modifications [15]. The medical literature emphasizes that sometimes a simple chest X-ray is not stimulating enough for this kind of pathology, as the overexposed picture can lead to the diagnosis of a different pathology, as in our case [16]. Thus far, there have been cases in which the presence of recurrent lower respiratory tract infections caused by the simple presence of Morgagni hernia [17] were described.…”

Section: Discussionmentioning

confidence: 71%

Acute Respiratory Failure, Ischemic Modifications on Electrocardiogram: Alternative Etiology—A Case of Morgagni Hernia

et al. 2022

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We discovered a rare pathology described in adulthood, followed by the development of a long asymptomatic evolution, which underlined the importance of multidisciplinary collaboration. We present the case of a 62-year-old female smoker patient, with a known previous medical history of chronic ischemic heart disease, hypertension, chronic obstructive pulmonary disease (COPD), gastric ulcer and gastritis. The patient was rushed to the emergency room (ER) with acute respiratory failure, chest discomfort, ankle and facial edema and a chest X-ray showing a right lower pulmonary lobe consolidation, with an alarming ischemic electrocardiogram (ECG) modification without increasing myocardial cytolysis indicators. This led our medical team to investigate a possible cardiovascular event that might have been in development. After immediate admission, thoracic computer tomography (CT) imaging was carried out, which found a Morgagni diaphragmatic hernia, containing adipose tissue and the hepatic flexure of the colon with approximate dimensions of 50/100 mm. We faced differential diagnostic problems. We knew the subject’s existing cardiac and chronic respiratory tract pathologies from their previous medical history; therefore, multiple investigations and check-ups were carried out. A chest CT and surgery intervention were needed to resolve this case. Subsequently, the acute respiratory failure and alarming ischemic ECG modification disappeared.

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Section: Discussionmentioning

confidence: 71%