title: Mesentro-axial gastric volvulus in a morgagni diaphragmatic hernia in an old female.
abstract: A Morgagni diaphragmatic hernia is a rare congenital anteromedial defect in adults (5%). Symptoms of visceral herniation are attributable to the organs involved. Imaging is the mainstay of diagnosis either in an asymptomatic person or in a person with respiratory and/or gastrointestinal symptoms, ultimately requiring surgical intervention because of the risk of incarceration. We present a rare case of 80 years old female with vague upper abdominal pain and recurrent vomiting. An anteromedial parasternal defect was established on conventional as well as on cross-sectional imaging in right hemidiaphragm through which the upper abdominal contents were protruding in the right hemithorax, all enclosed in a peritoneal sac. The herniation resulted in mesentro-axial gastric volvulus. Due to age and anaesthesia risk, patient was conservatively managed.
authors.affiliation: Department of Radiology, Services Institute of Medical Sciences, Services Hospital, Lahore. imalliha@yahoo.com
authors.forename: Maliha
authors.initials: M
authors.lastname: Fansur
authors.forename: Salman
authors.initials: S
authors.lastname: Atiq
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000175:diagnosis; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D013277:Stomach Volvulus / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed