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Dyspnoea and constipation: rare case of large bowel obstruction secondary to an incarcerated Morgagni hernia

Incarcerated diaphragmatic hernias are often challenging to diagnose. Patients often present with non-specific abdominal symptoms, and barring an imaging modality that confirms herniation of intra-abdominal contents, there is no investigation sensitive or specific enough to identify it.

It is a rare cause of mechanical bowel obstruction that clinicians should be aware of. This report describes a case of an 81-year-old man who presented to the emergency department with ongoing dyspnoea and constipation secondary to a partial large bowel obstruction due to an incarcerated Morgagni hernia.

This case highlights the non-specific symptoms of this condition that often leads to a delayed diagnosis and aims to increase the awareness among clinicians.

Choy KT, Chiam HC.

BMJ Case Reports, June 2019, Volume 12, Issue 6

pii: e229507

doi: 10.1136/bcr-2019−229 507

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