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Hernia of Morgagni and mediastinal lipoma: a case report.
Ann Thorac Cardiovasc Surg. 2011; 17(1):77-80.AT

Abstract

A hernia of Morgagni (also called hernia of Morgagni-Larrey) is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect. The Morgagni hernia can create uncertainty in its diagnosis and difficulty for subsequent treatment. If after clinical examination and x-ray we suspect the hernia, computed tomography imaging should be the desired imaging method to confirm the diagnosis. Surgery is the only definitive treatment. When a patient presents signs and symptoms of incarceration or strangulation, emergency surgery is required. We report the first life-threatening case of an association between a hernia of Morgagni and a mediastinal lipoma. We present an adult patient with mediastinal lipoma and a right incarcerated hernia of Morgagni with engagement of the stomach, the duodenum and the transverse colon, successfully treated without complications. To our knowledge, this is the first report of an association between those two rare entities in an acute setting. We discuss the differential diagnosis and physiopathology of the condition, referring to published reports.

Authors+Show Affiliations

Menditto VG
Department of Emergency Medicine and Surgery, Università Politecnica delle Marche, Ospedali Riuniti di Ancona, Via Conca n. 71, Ancona, Italy. v.menditto@univpm.it
Cavicchi A
No affiliation info available
Marchetti G
No affiliation info available
Marzioni M
No affiliation info available
Braccioni F
No affiliation info available
Polonara S
No affiliation info available

MeSH

AgedFemaleHernia, DiaphragmaticHernias, Diaphragmatic, CongenitalHumansIntestinal ObstructionLipomaMediastinal NeoplasmsTomography, X-Ray ComputedTreatment Outcome

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

21587136

Citation

Menditto, Vincenzo Giannicola, et al. "Hernia of Morgagni and Mediastinal Lipoma: a Case Report." Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, vol. 17, no. 1, 2011, pp. 77-80.
Menditto VG, Cavicchi A, Marchetti G, et al. Hernia of Morgagni and mediastinal lipoma: a case report. Ann Thorac Cardiovasc Surg. 2011;17(1):77-80.
Menditto, V. G., Cavicchi, A., Marchetti, G., Marzioni, M., Braccioni, F., & Polonara, S. (2011). Hernia of Morgagni and mediastinal lipoma: a case report. Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 17(1), 77-80.
Menditto VG, et al. Hernia of Morgagni and Mediastinal Lipoma: a Case Report. Ann Thorac Cardiovasc Surg. 2011;17(1):77-80. PubMed PMID: 21587136.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hernia of Morgagni and mediastinal lipoma: a case report. AU - Menditto,Vincenzo Giannicola, AU - Cavicchi,Angelo, AU - Marchetti,Giorgio, AU - Marzioni,Marco, AU - Braccioni,Francesco, AU - Polonara,Stefano, PY - 2009/07/22/received PY - 2009/12/08/accepted PY - 2011/5/19/entrez PY - 2011/5/19/pubmed PY - 2011/9/10/medline SP - 77 EP - 80 JF - Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia JO - Ann Thorac Cardiovasc Surg VL - 17 IS - 1 N2 - A hernia of Morgagni (also called hernia of Morgagni-Larrey) is a congenital herniation of abdominal contents into the thoracic cavity through a retrosternal diaphragmatic defect. The Morgagni hernia can create uncertainty in its diagnosis and difficulty for subsequent treatment. If after clinical examination and x-ray we suspect the hernia, computed tomography imaging should be the desired imaging method to confirm the diagnosis. Surgery is the only definitive treatment. When a patient presents signs and symptoms of incarceration or strangulation, emergency surgery is required. We report the first life-threatening case of an association between a hernia of Morgagni and a mediastinal lipoma. We present an adult patient with mediastinal lipoma and a right incarcerated hernia of Morgagni with engagement of the stomach, the duodenum and the transverse colon, successfully treated without complications. To our knowledge, this is the first report of an association between those two rare entities in an acute setting. We discuss the differential diagnosis and physiopathology of the condition, referring to published reports. SN - 2186-1005 UR - https://www.unboundmedicine.com/medline/citation/21587136/Hernia_of_Morgagni_and_mediastinal_lipoma:_a_case_report_ L2 - http://www.diseaseinfosearch.org/result/4869 DB - PRIME DP - Unbound Medicine ER -