A RARE ASSOCIATION OF MORGAGNI HERNIA WITH DOWN SYNDROME.

Morgagni hernia is a rare diaphragmatic hernia accounting for only 2% of the congenital diaphragmatic defects. A case of Morgagni hernia was diagnosed radiologically in a 2 year old male with Down syndrome, with complaints of abdominal distension and not able to gain adequate weight ,with no respiratory distress. The 2-dimensional echocardiography was normal except patent foramen ovale right to left shunt. The diagnosis of Morgagni hernia was confirmed by Barium studies and Ultrasound Abdomen. The patient underwent a corrective surgery at 2 years of age. Literature review revealed only 18 cases of Morgagni hernia with Down syndrome reported till date, with age of presentation varying from neonatal age group to 12 years of age. The mode of presentations varied from asymptomatic detection to severe respiratory distress.