Thoracic lipoma within Morgagni's hernia

Abstract EN

Morgagni’s hernia is a rare subtype of congenital diaphragmatic hernia.

it is rarely diagnosed in adulthood.

it often presents with non-specific symptoms of obstruction or incarceration or present as cardiopulmonary or gastric symptoms.

usually, the contents include abdominal organs or omentum.

the diagnosis could be difficult as they are often confused with different common pathologies.

we report a case of a forty-eight-year-old female who presented with non-specific symptoms of fatigue, cough and dyspnea.

further assessment revealed a mediastinal mass, consistent with a mediastinal lipoma.

during thoracotomy, a lipoma was found within a hernial sac located retrosternal, consistent with morgagni’s hernia.

the lipoma was removed and the defect was closed.

postoperatively, the patient had an uneventful recovery.