Fraternal twins with Morgagni hernias (original) (raw)

Congenital Hernia of Morgagni - A Case Report

MVP Journal of Medical Science, 2015

Congenital Diaphragmatic Hernia of Morgagni occurs through the foramen of Morgagni, is rare in children. It is usually asymptomatic and detected accidentally. If symptomatic, then symptoms are variable and nonspecific making diagnosis difficult. Our patient presented with signs and symptoms suggestive of congenital heart disease, gastroesophageal reflux disease and recurrent pneumonia.

Associated malformations in Morgagni hernia

Pediatric Surgery International, 2007

Morgagni hernia (MH) is a congenital herniation of the abdominal organs through the subcostosternal portion of the diaphragm. It is a rare type of diaphragmatic hernia that has been associated with other congenital anomalies. The purpose of this clinical review was to determine the incidence of associated anomalies in patients with MH at a major pediatric referral center. The medical records of all patients with the diagnosis of MH were reviewed retrospectively between 1983 and 2006. The age, sex, side of herniation, presenting symptoms and signs, associated anomalies, radiologic features, intraoperative findings, postoperative course, complications, and mortality were recorded. There were 11 males and 5 females. The average age of the patients was 34.5 months (range 2 months-14 years). Twelve patients (75%) had at least one associated congenital malformation and eight (66.6%) of them had multiple anomalies. Six (37.5%) patients had a chromosomal anomaly, Down's syndrome in five and Turner syndrome in one. MH has a high incidence of associated congenital malformations.

Fetal Intra‐pericardial Morgagni Hernia with effusion affecting one member of a twin gestation

Echocardiography, 2019

Congenital diaphragmatic hernias have an incidence of about 1 in 2000 to 5000 live births. 1 The posterior lateral defect of the diaphragm (Bochdalek) represents the majority of diaphragmatic hernias, while the anterior parasternal defect, known as Morgagni hernia, accounts for only 3%-5% of all surgically repaired CDH. 2 The latter defect results from a small gap of the musculature on either side of the xiphoid process and the seventh costal cartilage. 3 The foramen of Morgagni (space of Larrey) extends from the sternum medially to the eighth rib laterally and occurs because of failure of the fibrotendinous portion of the pars sternalis to fuse with the fibrotendinous part of the costochondral arches. Morgagni hernias, therefore, occur anteromedially. The most commonly herniated viscera are the liver, spleen, and omentum. 90% of the Morgagni type occurs on the right side, and 7% occur bilaterally. This paper reports to our knowledge the first Morgagni hernia in a twin pregnancy following referral for pericardial effusion and the medical and surgical strategy involved in managing such a case.

A Rare Case of Morgagni Diaphragmatic Hernia Presenting in Pregnancy

Indian Journal of Surgery, 2012

A case of Morgagni hernia presenting in adulthood is presented. This form of congenital diaphragmatic hernia is rare in itself and is known to present in adulthood in some cases. But presentation after having undergone three surgeries-PDA ligation, appendicectomy and a full term pregnancy followed by LSCS is even rarer. This case is therefore by any yardstick an extremely rare one.

Bilateral congenital anterior diaphragmatic hernia: a case report

Hernia, 2006

The anteromedial diaphragmatic hernias of Morgagni and Larrey are the least common defects that occur in this organ. Simultaneous occurrence has been described but remains an absolute rarity. We herein present a case of this bilateral herniation with a unique presentation. The paper refers to the basic anatomic, diagnostic and therapeutic considerations for this entity.

Congenital bilateral Morgagni’s hernia secondary to twin accessory hepatic lobes in an infant

Hernia, 2010

Bilateral Morgagni’s hernia is rare in infants. We report a rare case of bilateral anterio-medial defect in the diaphragm in a 5-month-old infant presenting with recurrent respiratory tract infection. He had two adjacent accessory hepatic lobes which, presumably, had embryologically caused the defect. He also had secondary herniation of the transverse colon without any symptoms attributable to it. We describe the management of this condition and the concerned literature is reviewed.

Right sided diaphragmatic hernia of Morgagni with associated anatomical abnormalities

a rare type of diaphragmatic hernia has been observed within a cadaver in the Anatomy department during routine dissections. Normally, congenital diaphragmatic hernias appear on the left side, namely a Bochdalek hernia. This particular hernia, a Morgagni type, is uniquely found on the anterior right side of the thorax. This 101-yearold female cadaveric specimen had a herniation of the greater omentum, stomach, and portion of the duodenum into the right side of the thorax, with an associated slight mediastinal shift to the left. In addition, this cadaver had a fleshy 'string' of tissue connecting the hernia sac to the sigmoid colon, a tortuous internal carotid artery, thickened costal cartilages, and weak fascia.

A RARE ASSOCIATION OF MORGAGNI HERNIA WITH DOWN SYNDROME

Morgagni hernia is a rare diaphragmatic hernia accounting for only 2% of the congenital diaphragmatic defects. A case of Morgagni hernia was diagnosed radiologically in a 2 year old male with Down syndrome, with complaints of abdominal distension and not able to gain adequate weight ,with no respiratory distress. The 2-dimensional echocardiography was normal except patent foramen ovale right to left shunt. The diagnosis of Morgagni hernia was confirmed by Barium studies and Ultrasound Abdomen. The patient underwent a corrective surgery at 2 years of age. Literature review revealed only 18 cases of Morgagni hernia with Down syndrome reported till date, with age of presentation varying from neonatal age group to 12 years of age. The mode of presentations varied from asymptomatic detection to severe respiratory distress.

Atypical Morgagni Hernia: A Case Study Report

Journal of Kermanshah University of Medical Sciences, 2019

Introduction: Morgagni hernia is a type of congenital diaphragmatic hernia defined as a defect in the fusion of musculinization of the anterior pleuroperitoneal membrane, occurring in 1 per 3000 live births worldwide. Case Presentation: The patient was a one-year-old boy residing in the city of Kermanshah, Iran, visiting the hospital following cold signs one month before. After lung auscultation by the physician and performing chest radiography, the patient underwent further examination due to reduced lung sounds on the left side. In the chest radiography, intestine segments and stomach were shown to have entered the left side of the thoracic cavity, and the heart and mediastinum were shifted to the right. In the small intestine transit, part of the stomach fundus was observed in the lower left side of the thoracic cavity, indicative of sliding hiatal hernia. Conclusions: Intraoperative findings suggested atypical Morgagni hernia. Therefore, it is recommended that surgeons take into account rare types of hernia in their diagnoses, and perform more careful pre-operative radiography to be fully prepared.