Case Reports

Morgagni hernia presenting with lung consolidation unresponsive to antibiotics

M P Dlamini, L D R Tsatsi, S M Risenga

Abstract


Congenital diaphragmatic hernia (CDH) is a congenital malformation of the diaphragm that allows the abdominal organs to push into the chest cavity.
We report the case of a 15-month-old patient who presented with a non-resolving opacity on a chest radiograph despite extensive antibiotic treatment. A large anterior mediastinal mass was seen on the chest radiograph with effacement of the right cardiac border and accompanying diminution of the liver shadow, suggesting intrathoracic herniation of abdominal contents. A computed tomography (CT) scan confirmed the presence of abdominal contents in the right hemithorax.
Congenital diaphragmatic hernias can cause uncertainty with regard to diagnosis and difficulty in subsequent treatment. Non-resolving chest opacities warrant further investigation by cross-sectional imaging such as a CT scan.

Authors' affiliations

M P Dlamini, University of Limpopo

L D R Tsatsi, University of Limpopo

S M Risenga, University of Limpopo

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Cite this article

South African Journal of Child Health 2011;5(4):120.

Article History

Date submitted: 2011-11-02
Date published: 2011-12-06

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