Morgagni´s hernia containing an appendicular mucocele.

A 61-year-old female patient was admitted in EA presenting with dyspnea and inespecific postprandial complaints. The chest X-ray (Fig. 1) showed abdominal content into the right side of the thorax. A diaphragmatic hernia was suspected and a computed tomography (CT) was performed (Fig. 2). CT showed a Morgagni’s hernia with the small bowel, the right and transverse colon and a tubular structure with calcifications which seemed an appendicular mucocele inside of it. Surgery was indicated and a thoracic approach was first performed to remove adhesions to hernia sac. During the abdominal approach hernia content was reduced, the diaphragmatic defect repaired with a PTFE mesh and ileocecal resection was made. Pathological report informed a calcified mucinous cystoadenoma. The patient was discharged without complications and no recurrence has been observed after 18 months of follow-up.