title: A case of Morgagni hernia presenting as pneumonia.
abstract: Morgagni-type diaphragmatic hernias are rare. The overwhelming majority are discovered in children who usually present with pneumonia or sepsis. We report an unusual case of a 57-yr-old woman with a Morgagni hernia presenting with pulmonary symptoms. Complicating the clinical picture, the pneumonia delayed the definitive diagnosis until a lateral chest X-ray study revealed loops of bowel in the right lower lung fields. It is important to entertain abdominal etiologies in the differential diagnosis of a thoracic density.
authors.affiliation: Department of Emergency Medicine, Los Angeles County and University of Southern California Medical Center 90033, USA.
authors.forename: S T
authors.initials: ST
authors.lastname: Lin
authors.forename: D M
authors.initials: DM
authors.lastname: Moss
authors.forename: S O
authors.initials: SO
authors.lastname: Henderson
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006333:Heart Failure / Q000150:complications / Q000000981:diagnostic imaging; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000000981:diagnostic imaging*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed