Symptomatic Morgagni′s hernia in an elderly patient

Rai, Santosh; Kamath, Muralidhar; Shetty, Ashok B.; Suresh, Sadasivam; Kumar, Arun

doi:10.4103/0974-2700.58654

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…Symptoms occur mainly in patients who have a hollow viscus included in the herniation (6,(10)(11). Symptoms are nonspecific, frequently digestive or pulmonary such as abdominal discomfort, fullness, bloating, nausea, vomiting, cramps, cough, dyspnea, pain in the chest (4)(5)12).…”

Section: Discussionmentioning

confidence: 99%

Multidetector Computed Tomography Diagnosis of Gastric Volvulus through the Foramen of Morgagni

Lecouvet

Coulier

Pierard

et al. 2014

Journal of the Belgian Society of Radiology

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Morgagni hernia is considered to be the rarest form of all diaphragmatic hernias. it develops through a congenital defect in the retrosternal area. usually asymptomatic, this entity can lead to life-threatening complications such as incarceration, strangulation or volvulus of the herniated viscus. We hereby report a rare case of organoaxial gastric volvulus producing through the foramen of Morgagni in a 78-year-old woman. the full diagnosis was made by upper gastro-intestinal series and multidetector computed tomography (MdCt). the basic anatomy, physiopathology, diagnostic methods, complications and surgical treatment of Morgagni hernia are briefly reviewed.

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Section: Discussionmentioning

confidence: 99%

Multidetector Computed Tomography Diagnosis of Gastric Volvulus through the Foramen of Morgagni

Lecouvet

Coulier

Pierard

et al. 2014

Journal of the Belgian Society of Radiology

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“…Morgagni hernia occurs as a herniation of abdominal contents into the thorax through a congenital defect found in the anterior aspect of the diaphragm with retrosternal or parasternal location (1). It often develops in the right hemithorax but also can be found on the left or on both sides (2) and accounts in adults for only 3% of all surgically treated diaphragmatic hernias (3). It usually contains omentum, transverse colon and less commonly stomach, small bowel or liver (4).…”

Section: Introductionmentioning

confidence: 99%

Morgagni hernia repair in adult obese patient by hybrid robotic thoracic surgery

et al. 2018

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Morgagni hernia is a relatively uncommon congenital diaphragmatic hernia in which abdominal contents protrude into the chest through the foramen of Morgagni. It usually occurs on the right side of the chest but may occur on the left side or in the midline. In adults, it commonly presents with non-specific symptoms such as dyspnea, cough, gastroesophageal reflux disease and other. Surgical repair should be always performed to prevent the risk of hernia incarceration. Transthoracic approach has been proposed especially in cases with indeterminate, anterior pericardial masses. We believe that in adult obese patients with Morgagni hernia and voluminous hernial sac containing only omentum, the transthoracic approach can represent a valid alternative to transabdominal approach. The use of hybrid robotic thoracic surgery can be strongly recommended because it allows, through robotic instruments, to perform delicate surgical maneuvers in difficult to reach anatomical areas and, with the final extension of a port-site incision, to remove voluminous specimens from the thoracic cavity, avoiding the chest wall discomfort that follow the thoracotomy access.

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“…Morgagni’s hernias are secondary to congenital defects in the anterior diaphragm. The hernia sac frequently contains omentum, but it may contain also the stomach, the bowel or the liver [ 2 ]. Symptom severity depends on the extension of abdominal contents into the thorax and the presence of strangulation [ 3 ].…”

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confidence: 99%