Management of Congenital Morgagni Hernia With Gastric Outlet Obstruction Causing Perforated Esophagus in a Young Adult.

Abstract

This report presents a rare case of esophageal perforation in a patient with a large, incarcerated Morgagni hernia. At presentation, the Morgagni hernia contained peritoneal contents, including the stomach and duodenum. Because of distal obstruction resulting in persistent emesis, the patient presented in a septic state in the setting of esophageal perforation. We present a hospital course where the esophageal perforation was repaired on an emergency basis through a left thoracotomy, followed by a delayed robotic-assisted diaphragmatic repair using mesh.