Hernia of Morgagni in the Elderly: A Case Report

Patial, Tushar; Negi, Sunil; Thakur, Vikrant

doi:10.7759/cureus.1549

Cited by 11 publications

(12 citation statements)

References 7 publications

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“…Of the 171 cases identified from 76 articles in the past decade (Tables 1-3), 13-81 the majority of reported MH repairs were attempted through minimally invasive techniques (31), including laparoscopy (30) and thoracoscopy (1), followed by open abdominal approaches (31) exclusively attempted via laparotomy (31), and finally...…”

Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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Anteromedial subcostosternal defects, also known as a diaphragmatic hernia of Morgagni (MH), allow potentially life-threatening herniation of the abdominal organs into the thorax. Constituting only a small fraction of all types of congenital diaphragmatic hernias, correct diagnosis of MH is often delayed, owing in large part to nonspecific associated respiratory and gastrointestinal complaints. Once identified, the primary management for both symptomatic and incidentally discovered asymptomatic cases of MH are surgical correction because the herniated contents present increasing risk for strangulation. Various thoracic and abdominal surgical approaches have been described without a clear consensus on preference for operative repair technique. In this article, the literature regarding management of MH within the past decade is reviewed, and an illustrative case of laparoscopic repair of a MH with novel reinforcement using a Falciform ligament onlay flap is presented.

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Section: Resultsmentioning

confidence: 99%

Morgagni Hernia Repair: A Review

et al. 2018

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“…Morgagni hernia is the rarest of all CDH, presenting mostly in childhood [4] , [5] . There are some reports documenting its presentation in adulthood [7] , [8] , [9] , [10] . The present case, a 53 years' female was diagnosed as having CDH after developing cardiovascular and respiratory symptoms repeatedly.…”

Section: Discussionmentioning

confidence: 99%

Morgagni hernia in adult: A case report

Kuikel

Shrestha

Thapa

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Morgagni Hernia is a congenital diaphragmatic hernia but can rarely present in adults. It occurs due to a congenital defect in the development of the diaphragm. Here we present a case of symptomatic Morgagni hernia diagnosed in a 53 years' female. Case presentation A 53 years' female presented with recurrent chest symptoms and was found to have bowel contents herniated into the right hemithorax on chest X-ray and CECT. Reduction of hernia was done laparoscopically and the hernia was repaired with non-absorbable suture in an interrupted manner. Clinical discussion Morgagni hernias are mostly diagnosed incidentally on a chest radiograph or can present with cardiorespiratory or abdominal symptoms. Our case was an adult who was diagnosed to have Morgagni hernia presenting with chest symptoms. The investigation of choice to diagnose and evaluate this condition is CECT of chest and repair of hernia without the use mesh is advised in asymptomatic cases also due to feared complications like strangulation and incarceration. Conclusion The treatment of Morgagni Hernia is primary surgical repair which can be done either transthoracically or transabdominally. It is advised that surgical repair should be done even in asymptomatic cases.

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“…6 In this patient, the lesion was in the anteromedial region of the diaphragm and contents of the hernial sac occupied extensively both hemithoraxes surrounding the pericardial sac. The most common organs to herniate are the colon, omentum, stomach, liver and small intestine, 7 compromising their functioning and generating cardiorespiratory changes.…”

Section: Discussionmentioning

confidence: 99%

The usefulness of the transesophageal Doppler in the anesthetic management of Morgagni hernia repair - A case report

Babo¹,

Monteiro²,

Santos³

et al. 2021

APIC

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Morgagni hernia in adults is a rare condition and is associated with complications such as recurrent chest infections, respiratory failure and cardiac tamponade. Its correction represents an anesthetic challenge. Intraoperative esophageal Doppler provides important information in real time about the patient’s cardiac function and vascular filling, aiding in decision making by the anesthesiologist. We report a case of a 70–year–old woman, ASA Physical Status–III, and presented with chest pain, dyspnea and hypoxemia. Her chest x-ray revealed opacification of 2/3 of the left hemithorax and 1/2 of the right. Computed tomography confirmed a bilateral Morgagni hernia. The patient underwent immediate corrective surgery. Intraoperative cardiovascular function was monitored with esophageal Doppler. Compression and decompression of thoracic structures produces enormous hemodynamic and respiratory impact. After herniated contents removal it showed an increase in systolic volume and cardiac index and a correction of flow time. Transient arterial hypotension was verified, requiring fluid therapy and vasopressor support. Diaphragmatic defect was corrected and general hemodynamic stabilization was achieved. Patient was discharged asymptomatic. The esophageal Doppler was important in this case because it allowed us to measure fundamental hemodynamic variables in real time, such as cardiac index or systolic volume, and to subsequently act accordingly. Key words: Esophageal; Doppler; Morgagni hernia; Anesthesia Citation: Babo NM, Monteiro MT, Santos AB, Carreira CR. The usefulness of the transesophageal Doppler in the anesthetic management of Morgagni hernia repair - A case report. Anaesth pain intensive care 2021;25(2):206-211. DOI: 10.35975/apic.v25i2.1467 Received: 19 November 2020, Reviewed: 22 December 2020, Accepted: 12 January 2021

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Hernia of Morgagni in the Elderly: A Case Report

Cited by 11 publications

References 7 publications

Morgagni Hernia Repair: A Review

Morgagni Hernia Repair: A Review

Morgagni hernia in adult: A case report

The usefulness of the transesophageal Doppler in the anesthetic management of Morgagni hernia repair - A case report

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