RT Journal Article
SR Electronic
T1 Dyspnoea and constipation: rare case of large bowel obstruction secondary to an incarcerated Morgagni hernia
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e229507
DO 10.1136/bcr-2019-229507
VO 12
IS 6
A1 Kay Tai Choy
A1 Heng-Chin Chiam
YR 2019
UL http://casereports.bmj.com/content/12/6/e229507.abstract
AB 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.