Retrosternal hernia (Morgagni) with colonic perforation due to incarceration

Colonic necrosis because of strangulated recurrent Morgagni's hernia in a child with Down's syndrome

“…Although gastrointestinal herniation through an MH is a recognized complication in adults, there are only a few published cases in children [7,8]. Colonic necrosis because of strangulation within a recurrent MH had not been observed in children.…”

Congenital Hernia of Morgagni in Children

“…3 Although acute intestinal obstruction and colonic perforation have been reported in children with Morgagni's hernia, this is a rare occurrence. 10,11 Morgagni's hernia occurs more often on the right side (90%) and is bilateral in 7% of cases. The rarity of a leftsided occurrence has been attributed to the reinforcing effect of the heart and pericardium.…”

“…The diagnosis can be difficult if the hernial sac contains omentum or liver, as in our first patient, as this has to be differentiated from other lesions in the cardiophrenic angle. 4,11,12 Ultrasound and CT scan are advocated in such cases.…”

“…Once diagnosed, early surgical repair of Morgagni's hernia is advocated to avoid the risk of bowel strangulation and perforation. 11,12 …”

Bilateral congenital Morgagni-Larrey’s hernia

“…Most commonly, CMLH patients present with repeated attacks of pneumonia or vague, unspecifi c gastrointestinal symptoms. Although Berman et al concluded that late presenting CMLH is relatively benign, it causes signifi cant morbidity, [6,[8][9][10] especially if the patient is not adequatly investigated, the diagnosis can be missed or delayed.…”