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Mesentro-axial gastric volvulus in a morgagni diaphragmatic hernia in an old female.
J Coll Physicians Surg Pak. 2011 May; 21(5):299-300.JC

Abstract

A Morgagni diaphragmatic hernia is a rare congenital anteromedial defect in adults (5%). Symptoms of visceral herniation are attributable to the organs involved. Imaging is the mainstay of diagnosis either in an asymptomatic person or in a person with respiratory and/or gastrointestinal symptoms, ultimately requiring surgical intervention because of the risk of incarceration. We present a rare case of 80 years old female with vague upper abdominal pain and recurrent vomiting. An anteromedial parasternal defect was established on conventional as well as on cross-sectional imaging in right hemidiaphragm through which the upper abdominal contents were protruding in the right hemithorax, all enclosed in a peritoneal sac. The herniation resulted in mesentro-axial gastric volvulus. Due to age and anaesthesia risk, patient was conservatively managed.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Fansur M
Department of Radiology, Services Institute of Medical Sciences, Services Hospital, Lahore. imalliha@yahoo.com
Atiq S
No affiliation info available

MeSH

Aged, 80 and overFemaleHernia, DiaphragmaticHernias, Diaphragmatic, CongenitalHumansStomach VolvulusTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21575540

Citation

Fansur, Maliha, and Salman Atiq. "Mesentro-axial Gastric Volvulus in a Morgagni Diaphragmatic Hernia in an Old Female." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 21, no. 5, 2011, pp. 299-300.
Fansur M, Atiq S. Mesentro-axial gastric volvulus in a morgagni diaphragmatic hernia in an old female. J Coll Physicians Surg Pak. 2011;21(5):299-300.
Fansur, M., & Atiq, S. (2011). Mesentro-axial gastric volvulus in a morgagni diaphragmatic hernia in an old female. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 21(5), 299-300. https://doi.org/05.2011/JCPSP.299300
Fansur M, Atiq S. Mesentro-axial Gastric Volvulus in a Morgagni Diaphragmatic Hernia in an Old Female. J Coll Physicians Surg Pak. 2011;21(5):299-300. PubMed PMID: 21575540.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mesentro-axial gastric volvulus in a morgagni diaphragmatic hernia in an old female. AU - Fansur,Maliha, AU - Atiq,Salman, PY - 2009/06/30/received PY - 2011/03/04/accepted PY - 2011/5/18/entrez PY - 2011/5/18/pubmed PY - 2011/6/17/medline SP - 299 EP - 300 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 21 IS - 5 N2 - A Morgagni diaphragmatic hernia is a rare congenital anteromedial defect in adults (5%). Symptoms of visceral herniation are attributable to the organs involved. Imaging is the mainstay of diagnosis either in an asymptomatic person or in a person with respiratory and/or gastrointestinal symptoms, ultimately requiring surgical intervention because of the risk of incarceration. We present a rare case of 80 years old female with vague upper abdominal pain and recurrent vomiting. An anteromedial parasternal defect was established on conventional as well as on cross-sectional imaging in right hemidiaphragm through which the upper abdominal contents were protruding in the right hemithorax, all enclosed in a peritoneal sac. The herniation resulted in mesentro-axial gastric volvulus. Due to age and anaesthesia risk, patient was conservatively managed. SN - 1022-386X UR - https://www.unboundmedicine.com/medline/citation/21575540/Mesentro_axial_gastric_volvulus_in_a_morgagni_diaphragmatic_hernia_in_an_old_female_ DB - PRIME DP - Unbound Medicine ER -