Background: While presence of congenital diaphragmatic defects is fairly common, presence of anterior defects, with herniation through the Foramen of Morgagni is rare, especially large bilateral defects. Due to the variability of presentation and the rarity of pathology, diagnosing it is challenging and no standard surgical techniques have been described in literature and patient management is based on the patient condition. Case Presentation: In this study, we present a case of a large bilateral anterior diaphragmatic defect with herniation of stomach, intra-abdominal fat, small bowel and transverse colon, precipitated by a trauma incurred nearly 6 months prior to the patient presentation. Conclusion: Imaging is crucial for the diagnosis, ascertaining the size of the defect, contents of the hernia sac and associated complications. It is also needed to guide the surgeons. Immediate recognition of the Morgagni hernia with prompt treatment is critical to prevent significant complications like strangulation.
