Morgagni's Hernia is the direct herniation of the intra-abdominal organs through the anterior retrocostoxiphoid diaphragmatic defect. Following case report elucidates the case history and hernia morphology along with the treatment, in brief.

» Case Report

A five-year-old Hindu male presented to us with colicky abdominal pain, distention of upper abdomen, vomiting with constipation since three days duration. He has taken treatment for recurrent chest infection in past. There was no past history of intestinal obstruction. Clinically he was afebrile; vitals were with in normal limit. Chest examination showed decrease in air entry at the right base; epigastrium was tender and he had hyper peristalsis. An X-ray chest and abdomen showed in the diaphragm on the right side anteriorly 5 ?? 3 cm in diameter. A sac was present pushing the diaphragm up. The contents of the hernia sac were part of stomach, omentum and part of transverse colon. Hernia was reduced and the defect was closed with un-absorbable suture material. The patient made an uneventful recovery and is now asymptomatic.

» Discussion

Hernia of the Foramen of Morgagni (or the space of Larrey Laparoscopic and thoracoscopic approaches are emergent technique for treatment of Morgagni hernia.

» Conclusion

Morgagni hernia is a rare disease even rarer in pediatric age group, but should be rule out in patient presenting with recurrent chest infection and abdominal symptoms and should be repaired if diagnosed incidentally because of risk of incarnation and strangulation.