EC Clinical and Medical Case Reports

The presentation of a symptomatic Morgagni-Larrey hernia in adults is an exceptional clinical occurrence, particularly among individuals with Down syndrome, where congenital diaphragmatic hernias are commonly addressed during infancy. This report presents a rare case of a 25-year-old male with Down syndrome who experienced respiratory distress due to a Morgagni-Larrey hernia. The case is distinguished by the absence of the anteromedial edges of the hernia, which posed a significant surgical challenge. To manage this unique presentation, a mesh plug technique was adopted, and tailored to accommodate the intricate anatomical considerations. This case underscores the critical need for surgical innovation in the treatment of complex hernia presentations and highlights the rarity of such cases in the adult Down syndrome population, emphasizing the importance of tailored surgical intervention in these patients.

 Keywords: Morgagni; Morgagni-Larrey; Complex Hernia; Down Syndrome; Complex Hernia

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