Morgagni hernia: An unexpected cause of respiratory complaints and a chest mass

Soylu, Hanifi; Koltuksuz, Uğur; Kutlu, Nurettin Onur; Sarıhan, Haluk; Şen, Yaşar; Ustün, N.; Baki, Ali; Sönmezgöz, Ergün; Doğrul, Mehmet; Akıncı, Ayşehan

doi:10.1002/1099-0496(200011)30:5<429::aid-ppul10>3.0.co;2-h

Cited by 21 publications

(16 citation statements)

References 9 publications

(26 reference statements)

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“…Down's syndrome, intestinal malrotation, CHD and pectus carinatum was the most common congenital anomalies associated with our patients who had MH. It is well known that MH may be associated with other congenital anomalies such as CHD, Down's syndrome, intestinal malrotation, omphalocele, pectus carinatum, and genitourinary anomalies [1,[10][11][12]. However, chromosomal anomalies that are associated with MH are more significant, in terms of whether MH is an inheritable defect or not.…”

Section: Discussionmentioning

confidence: 99%

“…MH associated with pectus carinatum is a very rare condition, with only a few reported cases [10][11][12]. It is unclear whether thoracic deformity is secondary to MH or not.…”

Section: Discussionmentioning

confidence: 99%

“…These defects are referred to as foramen of Morgagni hernia (MH), Larrey's hernia or retrosternal hernia. However, MH is the most common terminology [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. It is a rare type of diaphragmatic hernia, accounting for less than 5% of all cases [1,9,10].…”

Section: Introductionmentioning

confidence: 99%

“…MH has been reported in association with other congenital malformations, including congenital heart diseases (CHD), chest wall defects, intestinal malrotation and chromosomal anomalies [1,[9][10][11][12][13]. We report our 23-year experience with the management and clinical significance of associated congenital anomalies in patients with MH.…”

Section: Introductionmentioning

confidence: 99%

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Associated malformations in Morgagni hernia

et al. 2007

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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.

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Section: Discussionmentioning

confidence: 99%

“…MH associated with pectus carinatum is a very rare condition, with only a few reported cases [10][11][12]. It is unclear whether thoracic deformity is secondary to MH or not.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Associated malformations in Morgagni hernia

et al. 2007

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“…Furthermore, the rare situation in which abdominal contents herniate into the pericardium can result in death from cardiac tamponade [3,4].…”

Section: Introductionmentioning

confidence: 99%

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Akbiyik¹,

Tiryaki²,

Şenel³

et al. 2006

Pediatr Surg Int

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Eight children with Morgagni hernia were operated between January 2000 and May 2005. Medical records of the patients were evaluated retrospectively. Ages of the patients were between 3.5 months and 9 years. The diaphragmatic defect was on the right in all patients except one. One patient had bilateral diapragmatic hernia. All of the patients were operated by abdominal approach. All patients had hernial sacs. During operation sac of hernia was everted to peritoneal space without removal and the defect was closed by using nonabsorbable material. There was no intraoperative complication. The patients were discharged on the sixth day in uneventful condition. There was no complication or recurrence during follow up. Excision of sac of hernia is recommended in majority. Most of the published studies favour the removal of hernial sac. In our practise, in the treatment of Morgagni hernia we did not remove the hernia sac during the last 5 years.

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Delayed presentation of congenital diaphragmatic hernia

Elhalaby

Sikeena

2002

Pediatric Surgery International

107

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The late-presenting congenital diaphragmatic hernia (CDH) represents a considerable diagnostic challenge. This study was undertaken to define various patterns of delayed presentation and to analyze pitfalls in the diagnosis and treatment of these patients. Thirty-three children with CDH were treated between 1993 and 2000; 15 of these (45.5%) who were diagnosed after the age of 2 months-14 years, median of 2.5 years are reported. Thirteen had a Bochdalek hernia and 2 had a Morgagni hernia. The diaphragmatic defect was right-sided in 6 cases and left-sided in 9. Five patients presented acutely, 3 with respiratory distress and 2 with gastrointestinal (GI) obstruction. The remaining 10 presented with chronic respiratory or GI complaints. Inappropriate insertion of a chest drain occurred in 3 patients misdiagnosed as having pleural effusion (2) and a pneumothorax (1). Two patients had previous chest radiographs reported normal. Plain radiographs were sufficient to make a definitive diagnosis in only 6 patients; GI contrast studies were necessary in the other 9. All patients were treated through an abdominal approach with primary closure of the diaphragmatic defect without a patch. A distinct hernia sac was present in 6 cases, and associated malrotation in 6. All except 1 patient survived the operation with rapid improvement of their GI and respiratory symptoms. We conclude that: (1) late-presenting CDH should be included in the differential diagnosis of any child with persistent GI or respiratory problems associated with an abnormal chest X-ray film; (2) nasogastric tube placement must be considered as an early diagnostic or therapeutic intervention when the diagnosis is suspected; and (3) GI contrast studies should be a part of the diagnostic work-up of these patients.

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Morgagni hernia: An unexpected cause of respiratory complaints and a chest mass

Cited by 21 publications

References 9 publications

Associated malformations in Morgagni hernia

Associated malformations in Morgagni hernia

Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years

Delayed presentation of congenital diaphragmatic hernia

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