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Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient.
J Thorac Imaging. 2005 Aug; 20(3):220-2.JT

Abstract

A Morgagni hernia is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect. The reported incidence of congenital diaphragmatic hernias is estimated to be 1 in between 2000 to 5000 births. Morgagni hernias comprise 2% of diaphragmatic hernias. Most Morgagni hernias are found and repaired in children, but 5% are found in adults. They are usually asymptomatic and often found incidentally on chest radiography. Symptoms of these hernias are attributable to the herniated viscera. Morgagni hernias containing bowel may require repair on presentation because of the risk of incarceration. We present a case of an incarcerated and strangulated Morgagni hernia in a 71-year-old woman admitted to our clinic for abdominal pain and symptoms of intestinal obstruction. The diagnosis was made preoperatively by chest radiography, sonography, and computed tomography. Emergent laparotomy was performed, with the herniated transverse colon and omentum reduced into the abdomen. The diaphragmatic defect was repaired, followed by resection of the strangulated omentum. In conclusion, a Morgagni hernia may cause intestinal obstruction. Routine radiographic studies are usually sufficient to arrive at the diagnosis, but a CT scan and sonography may be necessary. Laparotomy is appropriate for the management of symptomatic adult patients with Morgagni hernias, particularly those with findings of intestinal strangulation, with laparoscopic treatment an alternative approach in selected cases.

Authors+Show Affiliations

Suleyman Demirel University, School of Medicine, Department of General Surgery, Isparta, Turkey. ibarut@med.sdu.edu.trNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16077338

Citation

Barut, Ibrahim, et al. "Intestinal Obstruction Caused By a Strangulated Morgagni Hernia in an Adult Patient." Journal of Thoracic Imaging, vol. 20, no. 3, 2005, pp. 220-2.
Barut I, Tarhan OR, Cerci C, et al. Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient. J Thorac Imaging. 2005;20(3):220-2.
Barut, I., Tarhan, O. R., Cerci, C., Akdeniz, Y., & Bulbul, M. (2005). Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient. Journal of Thoracic Imaging, 20(3), 220-2.
Barut I, et al. Intestinal Obstruction Caused By a Strangulated Morgagni Hernia in an Adult Patient. J Thorac Imaging. 2005;20(3):220-2. PubMed PMID: 16077338.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intestinal obstruction caused by a strangulated Morgagni hernia in an adult patient. AU - Barut,Ibrahim, AU - Tarhan,Omer Ridvan, AU - Cerci,Celal, AU - Akdeniz,Yusuf, AU - Bulbul,Mahmut, PY - 2005/8/4/pubmed PY - 2005/12/13/medline PY - 2005/8/4/entrez SP - 220 EP - 2 JF - Journal of thoracic imaging JO - J Thorac Imaging VL - 20 IS - 3 N2 - A Morgagni hernia is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect. The reported incidence of congenital diaphragmatic hernias is estimated to be 1 in between 2000 to 5000 births. Morgagni hernias comprise 2% of diaphragmatic hernias. Most Morgagni hernias are found and repaired in children, but 5% are found in adults. They are usually asymptomatic and often found incidentally on chest radiography. Symptoms of these hernias are attributable to the herniated viscera. Morgagni hernias containing bowel may require repair on presentation because of the risk of incarceration. We present a case of an incarcerated and strangulated Morgagni hernia in a 71-year-old woman admitted to our clinic for abdominal pain and symptoms of intestinal obstruction. The diagnosis was made preoperatively by chest radiography, sonography, and computed tomography. Emergent laparotomy was performed, with the herniated transverse colon and omentum reduced into the abdomen. The diaphragmatic defect was repaired, followed by resection of the strangulated omentum. In conclusion, a Morgagni hernia may cause intestinal obstruction. Routine radiographic studies are usually sufficient to arrive at the diagnosis, but a CT scan and sonography may be necessary. Laparotomy is appropriate for the management of symptomatic adult patients with Morgagni hernias, particularly those with findings of intestinal strangulation, with laparoscopic treatment an alternative approach in selected cases. SN - 0883-5993 UR - https://www.unboundmedicine.com/medline/citation/16077338/Intestinal_obstruction_caused_by_a_strangulated_Morgagni_hernia_in_an_adult_patient_ DB - PRIME DP - Unbound Medicine ER -