A case of symptomatic Morgagni’s hernia and a review of Morgagni’s hernia in Japan (263 reported cases)

Iso, Yukihiro; Sawada, Tokihiko; Rokkaku, Kyu; Furihata, Tadashi; Shimoda, Mitsugu; Kita, Junji; Kubota, Keiichi

doi:10.1007/s10029-006-0123-1

Cited by 39 publications

(44 citation statements)

References 7 publications

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“…2006 [10]1, M, 51Left splenopancreatectomy4 years earlierChest X-ray, CT scan, MRILeft thoracotomyLeft hemi diaphragmStomachLuu TD, Ann Thorac Surg 2006 [95]1, F, 3433 weeks’ gestationChest roentgenogram, CT scan, barium study Esophagoscopythe patient went into preterm labour and had a spontaneous vaginal delivery of a healthy new-born at 34 weeks’ gestation. left thoracotomyLeft hemi diaphragmNecrotic stomachIso Y., Hernia 2006[96]1, F, 81Morgagni’s herniaChest X-rayThe diaphragm defect was sutured first, and partial resection of the transverse colonRight thoraxtransverse colonEglinton T, ANZ J Surg. 2006 Jul [97]3 casesDuring third trimester of pregnancyChest X-rayLaparotomy and thoracotomy in one case.…”

Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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BackgroundCongenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17–6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical signs and radiological investigations.MethodsFrom May 2013 to June 2016, six cases (four females, two males; mean age 58 years) of diaphragmatic hernia were admitted to our Academic Department of General Surgery with respiratory and abdominal symptoms. Chest X-ray, barium studies and CT scan were performed.ResultsCase 1 presented left diaphragmatic hernia containing transverse and descending colon. Case 2 showed left CDH which allowed passage of stomach, spleen and colon. Case 3 and 6 showed stomach in left hemithorax. Case 4 presented left diaphragmatic hernia which allowed passage of the spleen, left lobe of liver and transverse colon. Case 5 had stomach and spleen herniated into the chest. Emergency surgery was always performed. The hernia contents were reduced and defect was closed with primary repair or mesh. In all cases, post-operative courses were uneventful.ConclusionOverlapping abdominal and respiratory symptoms lead to diagnosis of diaphragmatic hernia, in patients with or without an history of trauma. Chest X-ray, CT scan and barium studies should be done to evaluate diaphragmatic defect, size, location and contents. Emergency surgical approach is mandatory reducing morbidity and mortality.

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Section: Methodsmentioning

confidence: 99%

Emergency surgery due to diaphragmatic hernia: case series and review

et al. 2017

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“…Pain including the chest or abdominal discomfort was present in 37% of cases; bowel obstruction occurred in 20% of patients and dysphagia, bleeding, and gastroesophageal reflux disease are rare [5]. However, emergency surgery may be performed because of obstruction or perforation of the bowel or respiratory distress [6].…”

Section: Discussionmentioning

confidence: 99%

Seizure attack and Morgagni diaphragmatic hernia: incidental diagnosis or direct correlation?

et al. 2011

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Asymptomatic Morgagni hernia can be discovered in adults as an incidental finding or because of acute gastrointestinal symptoms. We report a case of a 76-year-old man with an incidental diagnosis of seizure attack. Obesity and the increased abdominal pressure caused by abdominal muscles contraction during seizure could have contributed to the clinical presentation. The omentum, small bowel, and transverse colon were found in the right side of the chest using an open transabdominal approach. The hernia sac was excised and the diaphragmatic defect closed by direct suturing. The postoperative period was uneventful and the shortness of breath attributed to obesity disappeared.

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“…Early surgical intervention should be considered in all cases because MH could cause life-threatening complications such as obstruction or strangulation [2,3]. The aim of surgery was replacement the herniated organs, excision of the hernia sac, and closure of the hernia defect.…”

Section: Discussionmentioning

confidence: 99%

“…Morgagni hernia (MH) is an uncommon type of diaphragmatic hernia whose pathophysiology is not clear, and accounts for 3% of all diaphragmatic hernias [2]. Although MHs are generally asymptomatic and usually discovered incidentally during routine diagnostic tests for other pathologies [3], a missed or late diagnosis can lead to serious complications. Early surgical intervention and correct diagnosis prevent these undesirable events.…”

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confidence: 99%