Congenital bilateral Morgagni’s hernia secondary to twin accessory hepatic lobes in an infant (original) (raw)

Morgagni's hernia in infants and children

European Journal of Surgery, 2003

Objective: To report my experience of Morgagni's hernia in 4 infants and 1 child. Design: Retrospective study. Setting: Teaching hospital, Saudi Arabia. Subjects: 4 infants and 1 child with Morgagni's hernias, one of which was recurrent. Interventions: Repair through an abdominal incision. Main outcome measures: Presentation, morbidity, and recurrence. Results: 4 of the 5 cases presented with respiratory distress or pulmonary infection, or both; 1 presented with failure to thrive as well. 3 patients had associated anomalies (hypertrophic pyloric stenosis, malrotation of the gut, and left inguinal hernia; Down syndrome; and multiple Mongolian spots and umbilical hernia). The hernia was recognised on chest radiograph in all cases, and confirmed by barium studies in 3. All the hernias were repaired through an abdominal incision. There were no deaths and no early complications, but late complications included a recurrence and incisional hernia in 1 patient and midgut volvulus caused by associated anomalies in another. Conclusion: Outcome is usually influenced by associated anomalies and the seriousness of the effects of the hernia. Timely diagnosis and repair can improve outcome.

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.

Congenital Morgagni hernia: misleading images and delayed diagnosis

Diaphragmatic hernia of the Morgagni type is relatively rare. We report the case of a term 10-day-old female infant admitted through the emergency department with symptoms of lethargy, poor feeding, and vomiting. Her general physical examination was normal except for weight loss of 450gm and minimal sub-costal indrawing, whilst normal breath sounds and heart sounds on auscultation. Sepsis markers were negative. Chest radiography revealed non-specific opacities in the right middle and lower zones. A diagnosis of pneumonia was made and the patient was admitted for parenteral antibiotics. The patient remained symptomatic after seven days of intravenous antibiotics and a repeat chest radi-ograph showed a suspicious radiolucent shadow in the right lower lobe. An upper gastrointestinal contrast study confirmed the diagnosis of right-sided congenital Morgagni hernia. Subsequently the dia-phragmatic hernia was repaired and the infant made a quick recovery.

Childhood Morgagni hernia: report of two cases

2017

Morgagni diaphragmatic hernia is a rare congenital anomaly to be seen in the pediatric age group. We are reporting two cases of Morgagni hernia, which presented with non-specific symptoms and posed a diagnostic dilemma. One of the patients was 10 years old and associated with asplenia and Down’s syndrome; the second case presented as isolated Morgagni hernia in an 8 month baby. The diagnosis was confirmed with radiography and computed chest tomography. Both cases were managed successfully with surgical repair of the diaphragmatic defect through trans-abdominal approach.

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.

Bilateral Morgagni Hernia in Infant, a Rare Type in Congenital Diaphragmatic Hernia: A Case Series

Jurnal Kedokteran Syiah Kuala

Abstrak. Hernia Diafraghma Kongenital (HDK) merupakan kelainan kongenital yang jarang ditemukan pada bayi. Hernia Morgagni bilateral merupakan kasus yang sangat jarang ditemukan. Kami melaporkan kasus ini karena lokasi hernia Morgagni yang bilateral yang sangat jarang dijumpai (kanan dan kiri). Kami laporkan dua kasus dari HDK. Kasus pertama bayi perempuan usia 4 bulan dengan keluhan usus halus dan hati lobus kiri berada di dalam rongga dada yang berhubungan dengan defek anterior dari hernia diafraghma. Kasus kedua neonatus perempuan usia 22 hari datang dengan keluhan distress pernafasan, sesak nafas dan muntah. Pendekatan insisi subcotal dilakukan pada kedua pasien, dan defek dari hernia diafrahgma ditutup dengan menggunakan goretex pacth dengan hasil yang sangat baik. Pasca operasi, kedua pasien dengan kondisi sbaik, dan dipulangkan dari rumah sakit tanpa komplikasi. Berbagai macam teknik tindakan operasi telah dipaparkan, dan pendekatan dengan tindakan laparotomy telah menjadi sa...

Fraternal twins with Morgagni hernias

Journal of Pediatric Surgery, 2005

Fraternal twins with identical left-sided foramen of Morgagni hernias are described. The occurrence of this rare type of congenital diaphragmatic hernia in twins suggests that genetic factors play a role in the formation of this lesion.

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.