DOI: https://doi.org/10.36347/sasjs.2026.v12i06.002

Pages: 538-541

Morgagni hernia is a rare congenital diaphragmatic hernia, typically diagnosed prenatally or neonatally, but it may occasionally present later in life, in adults, with mild symptoms that can progress to severe complications such as strangulation. We report a rare case of a female patient initially presenting with mild symptoms, such as epigastric pain and mild respiratory discomfort, overlooked until she presented to the emergency department with bowel obstruction. Diagnostic evaluation revealed a strangulated Morgagni hernia containing gastric and colonic contents. Surgical intervention was necessary and revealed an unexpected finding of a gastric tumor invading the transverse colon incarcerated within the diaphragmatic defect. Although the incarcerated structures were viable, this posed a significant therapeutic challenge. The decision was made for en bloc resection with lymph node dissection and diaphragmatic repair by suture. Postoperative recovery was uneventful, with hospital discharge after six days.