South African Journal of Child Health

Log in or Register to get access to full text downloads.

Remember me or Register

Morgagni hernia presenting with lung consolidation unresponsive to antibiotics

MP Dlamini, LDR Tsatsi


Congenital diaphragmatic hernia (CDH) is a congenital malformation of the diaphragm that allows the abdominal organs to push into the chest cavity. We report the case of a 15-month-old patient who presented with a non-resolving opacity on a chest radiograph despite extensive antibiotic treatment. A large anterior mediastinal mass was seen on the chest radiograph with effacement of the right cardiac border and accompanying diminution of the liver shadow, suggesting intrathoracic herniation of abdominal contents. A computed tomography (CT) scan confirmed the presence of abdominal contents in the right hemithorax. Congenital diaphragmatic hernias can cause uncertainty
in diagnosis and difficulty in subsequent treatment. Non-resolving chest opacities warrant further investigation by cross-sectional imaging such as a CT scan.

AJOL African Journals Online