Abstract
We report a case of Morgagni's foramen hernia with gastric volvulus. A 68-year-old woman was referred with vomiting after meals and epigastric discomfort was found in chest X-ray to have an abnormal shadow in the right lung field. Barium enema demonstrated gastric volvulus and hernia of the transverse colon protruding into the right thoracic cavity. Sagittal MRI suggested a Morgagni's foramen hernia containing the transverse colon and greater omentum. A celiac surgical approach showed a Morgagni's foramen hernia with an orifice almost the same size as that estimated by MRI. After the sac was inverted and removed, the hernial opening was closed with interrupted non absorbable sutures. The postoperative course was uneventful. We suspected her symptom was due to gastric volvulus because of hernial contents retained in hernia. In diagnosis, MRI is valuable both with differential diagnosis, (e.g., mediastinal tumor), and hernia evaluation. A celiac surgical approach is recommended when the diagnosis is definitive.
