Unusual cause of respiratory distress: Morgagni hernia associated to Down's syndrome

Morgagni hernia (MH) is a rare diaphragmatic hernia with 2% rate of congenital diaphragmatic hernias. Is reported Down's syndrome (DS) the most common chromosomal anomaly. There is a wide range variation among individuals clinically by its characteristic features and associated systemic malformations. The coexistence of Morgagni hernia and DS is reported approximately 20%. A female patient with DS was admitted to emergency department for evaluation of recurrent pneumonia accompanied by persistent dry cough and fever. In the case the radiographic abnormality was actually found to be MH with intestinal loops in the right thorax. We report this case to notify an asymptomatic association between DS and MH.