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Dyspnoea and constipation: rare case of large bowel obstruction secondary to an incarcerated Morgagni hernia
  1. Kay Tai Choy and
  2. Heng-Chin Chiam
  1. Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia
  1. Correspondence to Dr Kay Tai Choy, kaytai.choy{at}


Incarcerated diaphragmatic hernias are often challenging to diagnose.1 Patients often present with non-specific abdominal symptoms, and barring an imaging modality that confirms herniation of intra-abdominal contents, there is no investigation sensitive or specific enough to identify it. It is a rare cause of mechanical bowel obstruction that clinicians should be aware of. This report describes a case of an 81-year-old man who presented to the emergency department with ongoing dyspnoea and constipation secondary to a partial large bowel obstruction due to an incarcerated Morgagni hernia. This case highlights the non-specific symptoms of this condition that often leads to a delayed diagnosis and aims to increase the awareness among clinicians.

  • primary care
  • general surgery

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  • Contributors KTC performed the literature review and was in charge of drafting of the manuscript after patient consent was obtained. H-CC provided overall oversight as the senior surgeon involved in this case.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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