Congenital Morgagni hernia presenting as complete small bowel obstruction in the adult - A case report

Saqib, Sabah Uddin; Hamid, Kewan; Chawla, Tabish

doi:10.1016/j.ijscr.2020.10.021

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Infants with CMH often present with respiratory distress syndrome ( 12 ). Late diagnosis in adults may occur in patients presenting with chest pain, acute or chronic intestinal obstruction, or intestinal perforation ( 6 , 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

“…CMH, first described by Morgagni in 1761 ( 1 ), comprises 3%–5% of all types of congenital diaphragmatic herniae ( 2 ) and occurs in 1 in 4,800 live births ( 3 ). The etiology of CMH is multifactorial ( 4 ), and may include environmental exposures, genetic factors, malnutrition, Down syndrome and congenital heart disease ( 5 ) ( 6 ). CMH has no typical clinical symptoms and may be misdiagnosed.…”

Section: Introductionmentioning

confidence: 99%

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Single-site laparoscopic ligation of the hernia sac in infants with congenital Morgagni hernia

et al. 2023

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BackgroundCongenital Morgagni hernia (CMH) is a rare midline defect involving herniation of abdominal viscera into the thoracic cavity through triangular parasternal gaps in the diaphragm.MethodsThe medical records of three patients with CMH admitted to the Department of Pediatric Surgery at the Affiliated Hospital of Zunyi Medical University between 2018 and 2022 were retrospectively reviewed. Pre-operative diagnosis was based on chest x-ray, chest computerized tomography, and barium enema. All patients were treated with single-site laparoscopic ligation of the hernia sac.ResultsHernia repair was successful in all patients (males; age: 14 months, 30 months, 48 months). The average operative time for repair of a unilateral hernia was 20 ± 5 min. Volume of surgical blood loss was 2–3 ml. There was no damage to organs such as the liver or intestines, or to tissues such as the pericardium or the phrenic nerve. Patients were allowed a fluid diet 6–8 h after surgery, and remained on bed rest until 16 h after surgery. No postoperative complications occurred, and patients were discharged on postoperative Day 2 or 3. No symptoms or complications were noted during the 1–48 months of follow-up. Aesthetic outcomes were satisfactory.ConclusionsSingle-site laparoscopic ligation of the hernia sac provides pediatric surgeons a safe and effective technique for repair of CMH in infants and children. The procedure is straightforward, operative time and surgical blood loss are minimal, recurrence is unlikely, and aesthetic outcomes are satisfactory.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Single-site laparoscopic ligation of the hernia sac in infants with congenital Morgagni hernia

et al. 2023

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“…The main contents of the hernia sac in our patient were the omentum, the middle part of the transverse colon, and the upper part of the left lobe of the liver. Various abdominal organs, including the transverse colon, stomach, omentum, and small intestine, have been reported in the hernial sac; however, few cases have reported a part of the liver in the hernial sac [ 4 , 7 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Conventional radiography is usually helpful in the diagnosis of Morgagni hernia, with occasional missed diagnosis [ 5 , 16 ]. Computed tomography (CT) and magnetic resonance imaging (MRI) are commonly used to confirm diagnosis and differentiate Morgagni hernias from other intrathoracic and diaphragmatic defects [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Giant Morgagni hernia with transthoracic herniation of the left liver lobe and transverse colon: a case report

2023

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Background A Morgagni hernia is a rare diaphragmatic hernia that is usually asymptomatic but can present with gastrointestinal and chest symptoms and is reported in many cases with strangulation. Here we report a rare case of a Morgagni hernia with transthoracic herniation of the left lobe of the liver and transverse colon that presented with abdominal pain. Case presentation A 54-year-old Saudi female presented with abdominal pain, vomiting, and shortness of breath. Chest radiography revealed an air-containing viscus and a wide mediastinum. Computed tomography confirmed the presence of a right-sided Morgagni hernia. Reduction of the defect contents and repair of the hernia together with cholecystectomy were successfully performed using the laparoscopic approach. The patient recovered smoothly with complete resolution of preoperative symptoms. Conclusion A Morgagni hernia is a rare diaphragmatic defect with an increased risk of incarceration. In addition to the omentum, transverse colon, and small bowel, the defect may involve the left lobe of the liver. Surgical repair is recommended in all cases of Morgagni hernia, to avoid the risk of incarceration.

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Incarcerated Larrey hernia with small bowel obstruction: A case report

Sasaki¹,

Mitomo²,

Matsui³

et al. 2023

International Journal of Surgery Case Reports

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Congenital Morgagni hernia presenting as complete small bowel obstruction in the adult - A case report

Abstract: Highlights Acute presentation of Congenital Morgagni hernia in elderly is extremely rare. Congenital Morgagni hernia can present with acute small bowel obstruction. Early surgical intervention in case of strangulation is required to decrease mortality.

Cited by 4 publications

References 10 publications

Single-site laparoscopic ligation of the hernia sac in infants with congenital Morgagni hernia

Single-site laparoscopic ligation of the hernia sac in infants with congenital Morgagni hernia

Giant Morgagni hernia with transthoracic herniation of the left liver lobe and transverse colon: a case report

Incarcerated Larrey hernia with small bowel obstruction: A case report

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