Foramen of Morgagni Hernia Diagnosed by Liver Scan

Comer, Thomas P.; Schmalhorst, William R.; Arbegast, Neil R.

doi:10.1378/chest.63.6.1036

Cited by 8 publications

(5 citation statements)

References 4 publications

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“…The hernia that now bears his name was first described by Morgagni after reading an autopsy of an Italian stonecutter and published in his book Seats and Causes of Diseases (1761) [8,9]. This defect also is referred to as the space of Larrey, Napoleon's surgeon, who described the retrosternal space as an avenue through which pericardial tamponade could be treated [9].…”

Section: Discussionmentioning

confidence: 99%

“…This defect also is referred to as the space of Larrey, Napoleon's surgeon, who described the retrosternal space as an avenue through which pericardial tamponade could be treated [9]. Some authors refer to the potential retrosternal space on the right as ''Morgagni's gap'' and the space on the left as ''Larrey's gap'' [10].…”

Section: Discussionmentioning

confidence: 99%

“…Radiographic abnormalities in this location may be the consequence of medical treatment. For example, high doses of steroids can cause enlargement of the pericardial fat pad [9].…”

Section: Discussionmentioning

confidence: 99%

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Presentation and management of Morgagni hernias in adults: a review of 298 cases

2008

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Presentation and management of Morgagni hernias in adults: a review of 298 cases

2008

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“…In 1796, Giovanni Batista Morgagni first described the substernal herniation of abdominal organs into the thoracic cavity, based on his observation at the postmortem examination of a patient who died of head injury [1,2]. This defect is also referred to as the space of Larrey, Napoleon Bonaparte's surgeon who described the retrosternal space as an avenue through which pericardial tamponade could be treated [3,4]. There is still confusion about the description and naming of congenital diaphragmatic hernias in the literature.…”

Section: Introductionmentioning

confidence: 99%

Morgagni’s Hernia: Analysis of 21 Patients with Our Clinical Experience in Diagnosis and Treatment

Arıkan¹,

Dogan²,

Kocakuşak

et al. 2017

Indian J Surg

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A Morgagni's hernia is a congenital defect found in the anterior aspect of the diaphragm between the costal and the sternal portions of this muscle. This defect is also referred to as the space of Larrey. It has been reported that 70% of patients with Morgagni's hernia are female, 90% of the hernias are right-sided, and 92% of the hernias have hernia sacs. This type of hernia is a rare clinical entity and accounts for 3% of all surgically treated diaphragmatic hernias. There are no large retrospective or prospective studies on this topic. This type of hernia is a rare type among adults without a well-described prevalence and without well-established definitive management strategies. There are also few clinical reports about this clinical entity and its surgical treatment. We treated 21 patients with Morgagni's hernia in a 12-year period, and we report our experience while discussing the surgical treatment of this disease. We performed a retrospective review of the 21 patients who were operated between 2003 and 2015. These patients had undergone surgical repair of Morgagni's hernia. For each subject, demographic data, symptoms of presentation, physical examination findings, preoperative imaging studies and diagnosis, and surgical procedures were documented. Location of the hernia sac and its contents, postoperative complications, and duration of hospital stay were recorded and evaluated. Twelve patients were females and nine were males. The mean age of patients was 63.85 years. Dyspnea was the most prominent symptom in our patients. Morgagni's hernias were located on the right side in 19 patients and on the left side in 2 patients. Chest X-ray in 10 patients and abdominal computerized tomography in 17 patients were the major diagnostic tools. Four patients were operated as emergency while others underwent elective surgery (17 patients). Twelve patients were operated with laparoscopy and the remaining nine were operated with the conventional open abdominal technique. Hernia sacs were observed in all of the patients and removed except in four of them. The omentum and the transverse colon were the most commonly seen organs in hernia sacs. Hernia defects were repaired with primary sutures in four patients (all open cases) and primary closure supported with mesh in six patients (four laparoscopic, two open cases). In the remaining 11 patients, hernia defects were closed with synthetic meshes (eight laparoscopic, three open cases). Mean postoperative hospital stay was 9.8 days. No recurrence was observed in any patients. Only one of our patients died during follow-up. In Morgagni's hernias, surgical intervention is necessary as the hernia may cause complications such as strangulation of the colon or intestines. A laparoscopic approach has increased its popularity in recent years because of the well-known advantages of laparoscopy.

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“…1 This defect also is referred to as the space of Larrey, Napoleon's surgeon, who described the retrosternal space as an avenue through which pericardial tamponade could be treated. 2 Morgagni hernias are uncommon, accounting for only 1%-3% of hernias. 3 They are usually small, anteromedial, parasternal defects caused by maldevelopment of the septum transversum.…”

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confidence: 99%