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Surgery
Right-sided Morgagni diaphragmatic hernia presenting as isolated left shoulder pain
  1. Morgan K Kemerling1,
  2. Isimenmen Okekumata2,
  3. Rusul Alasadi2,
  4. Alex R Cedeno-Rodriguez3 and
  5. Thomas J Nuckton4
  1. 1Rosalind Franklin University of Medicine and Science Chicago Medical School, North Chicago, Illinois, USA
  2. 2Department of Internal Medicine, Advocate Health Care Inc, Chicago, Illinois, USA
  3. 3Department of Thoracic Surgery, Advocate Health Care Inc, Park Ridge, Illinois, USA
  4. 4Department of Medicine, University of California, San Francisco, San Francisco, California, USA
  1. Correspondence to Dr Morgan K Kemerling; morgankemerling3{at}gmail.com

Abstract

A woman in her 60s presented to the emergency department with excruciating, deep left shoulder pain and was found to have a right-sided Morgagni hernia, a rare type of congenital diaphragmatic hernia (CDH). She did not have chest pain, palpitations, shortness of breath, cough, abdominal pain, constipation, diarrhoea, nausea, vomiting or other symptoms classically associated with CDHs in adults. Laparoscopic robotic-assisted repair with mesh placement was performed, and the patient’s recovery was uncomplicated, with no recurrence of shoulder pain. Our patient’s presentation was unusual due to the absence of symptoms typically seen with CDHs in adults, and the presence of contralateral, left-sided shoulder pain with a right-sided Morgagni hernia.

  • general surgery
  • respiratory medicine
  • gastroenterology

https://doi.org/10.1136/bcr-2023-257631

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    Footnotes

    • Contributors MKK, IO, RA, ARC-R and TJN were responsible for drafting the text, sourcing and editing clinical images, investigating results, drawing original diagrams and algorithms and critically revising for important intellectual content. MKK, IO, RA, ARC-R and TJN gave final approval of the manuscript.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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