Morgagni hernia in adult: A case report

Kuikel, Sandip; Shrestha, Sanjib; Thapa, Sital; Maharjan, Narendra; Kandel, Bishnu Prasad; Lakhey, Paleswan Joshi

doi:10.1016/j.ijscr.2021.106286

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…The patient presented with shortness of breath, abdominal pain, nausea, and vomiting. Similar presentations of combined gastrointestinal and respiratory symptoms have been reported in adults, including retrosternal or chest pain, which is often relieved by standing, shortness of breath, flatulence, indigestion, and cramping [ 5 , 7 , 10 – 13 ]. Nevertheless, up to 50% of patients may not have any symptoms upon presentation, with the diagnosis occurring during the course of treatment for unrelated problems [ 6 , 14 ].…”

Section: Discussionmentioning

confidence: 78%

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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Section: Discussionmentioning

confidence: 78%

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

2023

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“…Resection of the hernia sac is technically challenging and can increase operative time and the risk of phrenic nerve injury, pneumothorax, pericardial injury, hemorrhage, and postoperative mediastinal emphysema ( 17 ). Mesh may be used in larger hernias and adults ( 18 ), but is not usually applicable in infants as the diaphragmatic defects are small and abdominal pressure is low.…”

Section: Discussionmentioning

confidence: 99%

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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“…Morgagni hernias can be repaired via an abdominal approach (laparotomy or laparoscopically) or transthoracic approach [ 2 ]. In our case, we proceeded with the laparoscopic approach.…”

Section: Discussionmentioning

confidence: 99%

Morgagni hernia: an uncommon pathology in adults

Rajkumar

Kulkarni

Talishinskiy

2022

Journal of Surgical Case Reports

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Typically, diaphragmatic hernias occur as congenital defects and are considered a rare presentation when seen in adults. They occur as developmental defects and stem from embryonic components of the diaphragm not fusing completely. There are two types of diaphragmatic hernias, classified based on the location of herniation through the diaphragmatic defect. Bochdalek hernias present as defects in the left postero-lateral diaphragm, whereas Morgagni hernias present as anterior defects of the diaphragm. The more common defect of the two are Bochdalek hernias making Morgagni hernias a rare presentation. This case describes the presentation of a hernia through an anterior defect in the diaphragm, otherwise classified as a Morgagni hernia.

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Morgagni hernia in adult: A case report

Cited by 10 publications

References 20 publications

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

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

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

Morgagni hernia: an uncommon pathology in adults

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