Morgagnilarrey parasternal diaphragmatic hernia in the adult. Clinical presentation and operative repair of hernia of morgagni. Morgagni hernia is a rare type of congenital diaphragmatic hernia. The majority of the literature describes hernia occurring mostly on the right side, a few on the left side and rarely bilateral.
A large hiatus hernia is present, containing much of the stomach, without evidence of obstruction or volvulus. Mar 09, 2019 hernia bochdalek morgagni pdf in, morgagni described the classical anterior diaphragmatic hernia, which today bears his namemorgagni hernia. It has also been called retrosternal, parasternal, substernal, and subcostosternal. Las restantes son hernias a traves del hiato esofagico. It was first described by the italian anatomist and pathologist giovanni morgagni in 1769 10. The patient underwent repair of this right morgagni hernia via a laparoscopic approach.
Additionally, recurrent chest infections and gastrointestinal symptoms have been reported in those with previously undiagnosed morgagni hernia. Morgagni hernia is a type of congenital diaphragmatic hernia which constitutes 26% of congenital diaphragmatic hernia cases. Morgagni larrey hernia is an exceedingly rare presentation of congenital diaphragmatic hernia. In addition an anterior diaphragmatic hernia morgagni hernia is present containing fat and a small amount of fluid. Its incidence has been reported as 3% in a large series of 1750 cases. Congenital diaphragmatic hernia cdh is a birth defect of the diaphragm.
Clinical presentation and operative repair of hernia of. Hernia of morgagni was first described by giovanni battista morgagni, an italian anatomist and pathologist in 1769, while performing a postmortem examination on a patient who died of a head injury. Accounting for approximately 2% of all cdh cases, it is characterised by herniation through the foramina of mor. Intraoperative findings confirmed preoperative radiologic studies demonstrating colonic and omental contents within an easily reducible hernia sac figures 4 and 5. Hernia of morgagni is the most rare of the four types of congenital diaphragmatic hernia 2%3% of all cases. Mar, 2020 a morgagni hernia is a rare form of congenital diaphragmatic hernia cdh observed in fewer than one in 20 patients with cdh. The defect is small and hernia being asymptomatic in the majority presents late in adulthood.
Thoracic computed tomographic ct scans showed a morgagni s hernia, characterized by an anteromedial diaphragmatic defect, with herniation of the transverse colon and. Newborns may present with respiratory distress at birth similar to a bochdalek hernia. Morgagni larrey parasternal diaphragmatic hernia in the adult. Morgagni hernia, rarely seen anterior defect of the diaphragm, is variably referred to as a morgagni, retrosternal, or parasternal hernia. Obstruction or incarceration in morgagni hernia is uncommon. Jorge godoy lenz cirugia laparoscopica en ninos pediatric laparoscopic surgery loading. Morgagni definition of morgagni by medical dictionary. A hernia of morgagni is a rare entity and usually occurs on the right side. In severe cases, it might present with symptoms of bowel obstruction or strangulation. We report a rare occurrence of strangulated morgagni hernia.
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