Hernia diafragmática de Morgagni-Larrey en el adulto: análisis de 10 casos

Hermosa, J.I. Rodríguez; Rodríguez, F. Tuca; Feliu, Begoña; Vila, Jordi; García, Josep Roig; Cazador, Antoni Codina; Francesch, M Figa; Fernández, Doroteo Acero

doi:10.1016/s0210-5705(03)70408-7

Cited by 27 publications

(13 citation statements)

References 24 publications

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“…The review of the medical literature reveals that there is confusion in the nomenclature of this type of a hernia. Studies have used the term Larrey's hernia to describe this unusual type of hernia if it occurs on the left side of the sternum, while Morgagni hernia referred to a right-sided hernia [7]. To eliminate this confusion, it should be recalled that Larrey never described a hernia.…”

Section: Discussionmentioning

confidence: 99%

“…Even in cases where omentum is in the sac, a part of the gut or stomach is also present or is pulled up with the omentum causing its distortion and points towards the diagnosis of Morgagni-Larrey hernia. However, in some cases, barium contrast studies performed for gastrointestinal symptoms can also be absolutely normal [7]. Therefore, the use of CT scan is advocated as an excellent, accurate, and non-invasive method of diagnosing Morgagni-Larrey hernia [4].…”

Section: Discussionmentioning

confidence: 99%

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Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections

Hashmi¹,

Ullah

Tariq

et al. 2019

Cureus

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Morgagni-Larrey hernia is an exceedingly rare presentation of congenital diaphragmatic hernia. Despite its rarity, it is associated with significant risk of morbidity and mortality. Herein, we describe a unique case report of an elderly woman who presented with left-sided chest pain, dyspnea, and chronic history of recurrent respiratory tract infections. On the basis of her medical history, general physical examination and imaging studies, she was operated for a presumptive diagnosis of thymolipoma. However, the intra-operative findings revealed that it was an unusual variant of a diaphragmatic hernia and the hernia sac appeared through the retrosternal foramen of Morgagni. Hence we concluded that it was a Morgagni-Larrey hernia compressing the lungs and heart. Consequently, the hernia was reduced and the defect was repaired. During the postoperative period, the patient had an uneventful recovery. To conclude, the possibility of a Morgagni-Larrey hernia should be strongly considered while evaluating a patient with recurrent chest infections, dyspnea, and vague chest pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections

Hashmi¹,

Ullah

Tariq

et al. 2019

Cureus

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“…Mullins and colleagues have reported an incidence of BH in adults of 0.17%, in a large series of patients that underwent CT imaging, with a mean age of 66.6 years [ 16 ]. Rodriguez and colleagues have reported that the adult incidence of the congenital form of diaphragmatic hernia of Morgagni-Larrey is also low [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Bochdalek Hernia with Concomitant Para-Esophageal Hernia, Repaired Laparoscopically in an Octogenarian

Susmallian

Raziel

2017

Am J Case Rep

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Patient: Male, 81Final Diagnosis: Bochdalex herniaSymptoms: Chest pain • vomitingMedication: —Clinical Procedure: Laparoscopic repair of both diaphragmatic herniasSpecialty: SurgeryObjective:Rare co-existance of disease or pathologyBackground:A Bochdalek hernia (BH) is a rare congenital condition consisting of a posterolateral defect in the diaphragm. A para-esophageal hernia (PEH) is a rare variant of hiatus hernia. BH and PEH may present with gastric volvulus or incarceration, requiring emergency treatment. Minimally invasive surgery is the preferred treatment, particularly for elderly patients and patients with comorbidities. The occurrence of BH with concomitant PEH is a very rare event. We describe a case of an octogenarian patient with BH and concomitant PEH treated laparoscopically.Case Report:An 81-year-old male patient, without significant comorbidities, presented with a two-month history of severe chest pain and vomiting after eating. Cardiological investigations ruled out cardiac ischemia, infarction, or other cardiovascular abnormalities. Chest and abdominal computed tomography (CT) imaging demonstrated a large diaphragmatic hernia, with the entire stomach in the left thorax. Laboratory results showed mild anemia and a low iron level. The patient underwent simultaneous laparoscopic repair of a BH and a PEH with mesh reinforcement without antireflux fundoplication. The patient’s postoperative recovery was uneventful.Conclusions:We have presented a rare case of BH with concomitant PEH in an octogenarian that was successfully treated with laparoscopic surgery. Although these two forms of hernia are a very rare association, this case report illustrates that the surgical approach should be individualized in each patient’s case to ensure a successful surgical outcome. In this case, the decision was made to suture the diaphragmatic crura and reinforce the diaphragm repair with mesh, rather than by fundoplication.

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“…[7] and Iso et al . [8] have described similar series of cases of symptomatic hernias due to intestinal obstruction that presented in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Morgagni′s hernia in an elderly patient

Rai¹,

Kamath²,

Shetty³

et al. 2010

J Emerg Trauma Shock

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Hernia of Morgagni occurs through an anterior defect in the diaphragm. Symptoms of these hernias are attributable to the herniated viscera. In our case, there was partial obstruction due to herniation of the distal stomach and pylorus into the right hemithorax that was reduced surgically through a right thoracolapaorotomy. Of special emphasis are the various modalities used to diagnose this condition in our case.

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Hernia diafragmática de Morgagni-Larrey en el adulto: análisis de 10 casos

Cited by 27 publications

References 24 publications

Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections

Morgagni-Larrey Hernia: A Possible Cause of Recurrent Lower Respiratory Tract Infections

A Rare Case of Bochdalek Hernia with Concomitant Para-Esophageal Hernia, Repaired Laparoscopically in an Octogenarian

Symptomatic Morgagni′s hernia in an elderly patient

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