Delay presentation of congenital diaphragmatic hernia with gastrointestinal manifestations: A case report

Congenital diaphragmatic hernia (CDH) is associated with high mortality due to pulmonary hypoplasia, pulmonary hypertension, and concomitant anomalies. This condition is identified by the presence of an orifice in the diaphragm (mostly to the left and posterolateral), leading to the herniation of the abdominal contents into the thorax. Morgagni hernia is a less common CDH, accounting for only 5-10% of CDH cases. It is an uncommon congenital herniation of the abdominal content through the triangular parasternal gaps of the anterior diaphragm. This condition usually affects the right side, and the patients are usually asymptomatic. Herein, we presented the case of a 15-month-old male infant with large Morgagni hernia resulting in poor weight gain. The presentation was unique due to its huge orifice, its accompaniment with gastrointestinal obstruction, and also its unremarkable radiologic findings. The patient was monitored by the follow-up team for 12 months. The follow-up revealed no recurrence, and the patient had favorable weight gain without any gastrointestinal symptoms.