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

Nicole Lin; Merit Gorgy; Kenji Okumura; Falyn Katzman; Matthew McGuirk; Clara Angeles; Tracey Weigel

doi:10.1016/j.atssr.2025.06.028

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

Ann Thorac Surg Short Rep. 2025 Jul 25;3(4):932-935. doi: 10.1016/j.atssr.2025.06.028. eCollection 2025 Dec.

Authors

Nicole Lin¹, Merit Gorgy¹, Kenji Okumura¹, Falyn Katzman¹, Matthew McGuirk¹, Clara Angeles², Tracey Weigel¹

Affiliations

¹ Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, New York.
² Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

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.

Publication types

Case Reports