EC Paediatrics

Right-sided congenital diaphragmatic hernias (CDH), especially Morgagni hernias with omental herniation, are rare and can be easily misdiagnosed due to presentation similarities with other conditions. This case report contributes to the medical literature by discussing a rare presentation of right-sided congenital Morgagni type diaphragmatic hernia (CDH) in a child with Down syndrome (Trisomy 21) with non-resolving pneumonia. A CT scan unexpectedly revealed a right-sided Morgagni hernia with omental herniation. Initially misinterpreted as an ongoing respiratory issue, the condition was successfully treated with robotic-assisted thoracic surgery (RATS), leading to a full recovery. This case highlights the importance of considering CDH in patients with persistent respiratory symptoms and the effectiveness of robotic surgery for repair.

 Keywords: Case Report; Congenital Diaphragmatic Hernia; Down's Syndrome; Omental Herniation; Morgagni Hernia; Robotic Surgery

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