We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Costosternal Hernia Through Foramen of Morgagni

Pablo Nankin, MD; Stanton Polin, MD
JAMA. 1971;217(5):698. doi:10.1001/jama.1971.03190050154024.
Text Size: A A A
Published online


To the Editor.—  Herniation through the foramen of Morgagni is uncommon, comprising only 2.5% of all diaphragmatic hernias. Harrington1 reported 534 cases of diaphragmatic hernias and encountered only 14 of the costosternal type. This paper illustrates an unusual presentation of a Morgagni hernia as a pyloric obstruction in an elderly man.

Report of a Case.—  An 82-year-old white man was admitted to Oak Forest Hospital for treatment of right hemiparesis. His past history revealed peptic ulcer treated medically in 1940, and a left cerebral thrombosis in 1967 which caused the hemiparesis. While in the hospital for physiotherapy, with improvement of the hemiparesis, he started vomiting food and gastric mucus postprandially. Nasogastric decompression for 48 hours was followed by an x-ray film series of the upper gastro-intestinal tract, which showed a pyloric obstruction and elevation of the right diaphragm (Fig 1). Roentgenograms of the chest revealed elevation of the right


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.