Giant Hernia of Morgagni with Acute Coronary Syndrome: A Rare Case Report and Review of Literature

Ahmad, Munir; Al-Arifi, Ahmed; Najm, Hani K.

doi:10.1016/j.hlc.2015.04.166

Cited by 7 publications

(9 citation statements)

References 11 publications

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“…Of the 171 cases identified from 76 articles in the past decade (Tables 1-3), 13-81 the majority of reported MH repairs were attempted through minimally invasive techniques (31), including laparoscopy (30) and thoracoscopy (1), followed by open abdominal approaches (31) exclusively attempted via laparotomy (31), and finally...…”

Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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Anteromedial subcostosternal defects, also known as a diaphragmatic hernia of Morgagni (MH), allow potentially life-threatening herniation of the abdominal organs into the thorax. Constituting only a small fraction of all types of congenital diaphragmatic hernias, correct diagnosis of MH is often delayed, owing in large part to nonspecific associated respiratory and gastrointestinal complaints. Once identified, the primary management for both symptomatic and incidentally discovered asymptomatic cases of MH are surgical correction because the herniated contents present increasing risk for strangulation. Various thoracic and abdominal surgical approaches have been described without a clear consensus on preference for operative repair technique. In this article, the literature regarding management of MH within the past decade is reviewed, and an illustrative case of laparoscopic repair of a MH with novel reinforcement using a Falciform ligament onlay flap is presented.

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Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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“…In a second case, of large Morgagni hernia displacing the heart and great vessels, Ahmad prepared the patient for concomitant repair with preoperative bowel prep and NG decompression of the stomach. The hernia sac was dissected from the underside of the sternum, and an oscillating saw used for sternotomy to minimize the risk of bowel injury [6].…”

Section: Discussionmentioning

confidence: 99%

Approach to a large rare diaphragmatic hernia in a patient undergoing cardiac surgery

Brookes

Munasinghe

Croagh

et al. 2019

Journal of Surgical Case Reports

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Hernia of Morgagni is an unusual congenital defect of the sternal portion of the diaphragm. Its concurrence with cardiac surgical pathology is rarely described in the literature. Notwithstanding, huge hernia of Morgagni have been noted to cause serious peri-operative impediment and complications. We report the case of a 50-year-old gentleman with a massive Morgagni hernia that threatened strangulation during cardiopulmonary bypass. We describe the combined surgical approach undertaken to repair this hernia, with an accompanying review of the literature relating to misadventure and management of similar large hernia coinciding with cardiac surgery.

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“…describe giant retrosternal hernia in a 42-year-old male, diagnosed during an acute heart attack. [ 42 ] Rather interesting clinical case of acute appendicitis strangulated in the foramen of Morgagni in 76-year-old patient reported by Bettini et al . [ 43 ] Occasionally, asymptomatic CDHM presents with acute surgical condition as strangulated small bowel diverticulum,[ 44 ] organo-axial gastric volvulus inside hernia sac in 78-year-old female[ 45 ] or acute bowel loop strangulation in a 27-year-old pregnant woman on the 21 st gestation week.…”

Section: Discussionmentioning

confidence: 99%

Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children

Slepov¹,

Kurinnyi²,

Ponomarenko³

et al. 2016

Afr J Paediatr Surg

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Background:Due to scarcity of congenital diaphragmatic hearnias of Morgagni (CDHM), non-specific clinical presentation in the pediatric age group, we aimed to investigate the incidence, clinical manifestations, anatomical characteristics, and develop diagnostic algorithm and treatment of CDHM in children.Materials and Methods:The patients’ records of children with CDHM treated in our hospital during past 20 years were retrospectively reviewed for the age at diagnosis, gender, clinical findings, anatomical features, operative details and outcome.Results:Since 1995 to 2014 we observed 6 (3 boys, 3 girls) patients with CDHM, that comprise 3.2% of all congenital diaphragmatic hernia cases (n = 185). Age at diagnosis varied from 3 mo. to 10y.o. Failure to thrive was main symptom in 4 patients, followed by recurrent respiratory infections (n = 3), dyspnea (n = 3), and gastrointestinal manifestations: constipation (n = 2), abdominal pain (n = 1). Work-up consisted of plain X-ray for all (n = 6), upper GI (n = 3), barium enema (n = 2), sonography (n = 6) and CT (n = 2). Abdominal approach used in 5 patients, and thoracotomy in one. Herniated contents were: liver lobes (n = 4), transverse colon (n = 3) and greater omentum (n = 1). 5 had right-sided lesion, 1- left-sided. Defect repaired using local tissues. Post-operative course was uneventful; all patients appeared well during follow-up.Conclusion:CDHM is very uncommon anomaly, very occasionally diagnosed at the early age. Failure to thrive and recurrent respiratory infections are most frequent clinical manifestations. In suspected CDHM we advocate the following work-up: plain chest and abdominal X-ray, contrast study (upper GI series or barium enema), ultrasonographic screen and CT scan. Surgical repair via abdominal approach, using local tissues and hernia sac removal is preferred.

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Giant Hernia of Morgagni with Acute Coronary Syndrome: A Rare Case Report and Review of Literature

Cited by 7 publications

References 11 publications

Morgagni Hernia Repair: A Review

Morgagni Hernia Repair: A Review

Approach to a large rare diaphragmatic hernia in a patient undergoing cardiac surgery

Congenital retrosternal hernias of Morgagni: Manifestation and treatment in children

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