Right-sided Morgagni diaphragmatic hernia presenting as isolated left shoulder pain

Authors

Morgan K. Kemerling, Rosalind Franklin University of Medicine and Science Chicago Medical School, North Chicago, Illinois, USA morgankemerling3@gmail.com.
Isimenmen Okekumata, Advocate Health - MidwestFollow
Rusul Alasadi, Advocate Health - MidwestFollow
Alex R. Cedeno-Rodriguez, Advocate Health - Midwest
Thomas J. Nuckton, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.

Recommended Citation

Kemerling MK, Okekumata I, Alasadi R, Cedeno-Rodriguez AR, Nuckton TJ. Right-sided Morgagni diaphragmatic hernia presenting as isolated left shoulder pain. BMJ Case Rep. 2024;17(6):e257631. Published 2024 Jun 22. doi:10.1136/bcr-2023-257631

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.

Type

Article

PubMed ID

38908835