Management of Congenital Morgagni Hernia With Gastric Outlet Obstruction Causing Perforated Esophagus in a Young Adult

Authors

• Nicole Lin, New York Medical College
• Merit Gorgy, New York Medical College
• Kenji Okumura, New York Medical College
• Falyn Katzman, New York Medical College
• Matthew McGuirk, New York Medical College
• Clara Angeles, University of Wisconsin School of Medicine and Public Health
• Tracey Weigel, New York Medical College

DOI

10.1016/j.atssr.2025.06.028

Journal Title

Annals of Thoracic Surgery Short Reports

First Page

932

Last Page

935

Document Type

Article

Publication Date

12-1-2025

Department

Surgery

Disciplines

Medicine and Health Sciences

Abstract

This report presents a rare case of esophageal perforation in a patient with a large, incarcerated Morgagni hernia. At presentation, the Morgagni hernia contained peritoneal contents, including the stomach and duodenum. Because of distal obstruction resulting in persistent emesis, the patient presented in a septic state in the setting of esophageal perforation. We present a hospital course where the esophageal perforation was repaired on an emergency basis through a left thoracotomy, followed by a delayed robotic-assisted diaphragmatic repair using mesh.

Recommended Citation

Lin, N., Gorgy, M., Okumura, K., Katzman, F., McGuirk, M., Angeles, C., & Weigel, T. (2025). Management of Congenital Morgagni Hernia With Gastric Outlet Obstruction Causing Perforated Esophagus in a Young Adult. Annals of Thoracic Surgery Short Reports, 3 (4), 932-935. https://doi.org/10.1016/j.atssr.2025.06.028