title: Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia.
abstract: BACKGROUND
  Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.
  
  
  METHODS
  Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
  
  
  CONCLUSIONS
  This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
authors: UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. annabettini@gmail.com.
authors: Anna
authors: A
authors: Bettini
authors: UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. jesus.ulloa@ucsfmedctr.org.
authors: Jesus G
authors: JG
authors: Ulloa
authors: UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA. Hobart.harris@ucsfmedctr.org.
authors: Hobart
authors: H
authors: Harris
mesh_terms: D000368:Aged; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis*; D006551:Hernia, Hiatal / Q000150:complications / Q000175:diagnosis*; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male
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