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

Zisa, Monica; Pulvirenti, Elia; Toro, Adriana; Mannino, Maurizio; Reale, Giulio; Carlo, Isidoro Di

doi:10.1007/s13304-011-0045-z

Cited by 5 publications

(5 citation statements)

References 6 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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“…Seizures in the post‐transplant period and prolonged ventilator support are other potential reasons for elevating the intra‐abdominal pressures as in our case. In fact, seizures in the post‐transplant period may also cause sudden elevations of the intra‐abdominal pressure, which has been reported as an eliciting factor for acute bowel herniation in congenital diaphragmatic hernias .…”

Section: Discussionmentioning

confidence: 99%

Right diaphragmatic hernia after liver transplant in pediatrics: A case report and review of the literature

Lam

Mejia

Soltys

et al. 2013

Pediatric Transplantation

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Diaphragmatic hernias (DH) are an unusual complication after pediatric liver transplantation; however, they have been reported with increased frequency in the past few years. DHs are responsible for nearly half of the small bowel obstructions requiring surgical intervention in this patient population. It has been suggested that the use of a left lobe liver graft, surgical trauma, malnourishment, elevated intra-abdominal pressures, and mTor inhibitors may predispose to development of DH. The use of a segmental graft may increase the recognition of diaphragmatic hernia because the surgically damaged right hemi-diaphragm often remains exposed to underlying viscera, instead of being covered by the right hepatic lobe. Treatment is surgical reduction, with up to 20% of the patients requiring resection of the herniated intestine. Herein we describe a case of DH after left segmental liver transplant in a two- yr-old boy that presented one month post left lobe split liver transplant with abdominal pain, anorexia, and respiratory distress. Just like in the majority of the reported cases, an urgent laparotomy with primary repair was performed. No resection of the herniated segment of intestine was required. For pediatric patients with otherwise unexplained respiratory or gastrointestinal symptoms after a left lateral segment liver transplant, right-sided diaphragmatic hernias should always be high in the differential diagnosis.

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“…The weakness is caused by defective fusion of the septum transversum around the costal edge of the diaphragm. 2 The hernia is usually right-sided as it is hypothesised that additional attachment of pericardial ligaments reinforces the left side of the diaphragm. Our case was unusual as the defect was bilateral and left-sided.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Morgagni hernia: operative discovery of appendix lying on superior pulmonary vein

et al. 2013

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A patient presented having an acute abdomen on a background of a twelve-month history of worsening asthma. Computed tomography showed giant bilateral intrathoracic hernias extending to both thoracic apices. Our case was unusual as the defect was bilateral and left-sided. Surgical repair revealed each hernia sac measuring >20 cm and to contain the entirety of the small bowel and colon (including retroperitoneal bowel). The appendix was discovered adjacent to right superior pulmonary vein. Both sacs were excised and the defects dissected and transfixed in a single stage operation. In the post-operative stage, he developed a 6.3 cm fluid collection anterior to the right atrium and a left-sided pleural effusion. Morgagni hernias can escape detection and be attributed to other diagnoses courtesy of false localising signs on clinical examination and symptoms in the history.

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

Cited by 5 publications

References 6 publications

Morgagni Hernia Repair: A Review

Morgagni Hernia Repair: A Review

Right diaphragmatic hernia after liver transplant in pediatrics: A case report and review of the literature

Bilateral Morgagni hernia: operative discovery of appendix lying on superior pulmonary vein

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