Tags

Type your tag names separated by a space and hit enter

Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction.
BMJ Case Rep. 2010 Nov 05; 2010BC

Abstract

A Morgagni hernia is a rare diaphragmatic hernia which develops through a congenital defect in the retrosternal area, usually on the right hand side. Because of its congenital aetiology, Morgagni hernias are rarely considered in the differential diagnosis of gastric outlet obstruction symptoms in adults. We present a patient with an incarcerated Morgagni hernia who presented with gastric outlet obstruction. A 77-year-old woman presented with symptoms and signs of gastric outlet obstruction, dehydration and acute renal impairment. She was treated by fluid resuscitation and nasogastric tube insertion. Radiological imaging showed a Morgagni hernia containing stomach, omentum and colon. This was treated surgically via an abdominal approach and the defect was closed with mesh. The patient recovered well from this procedure and was discharged. We discuss the anatomy, clinical presentation and surgical treatment of this rare diaphragmatic hernia to raise awareness among surgeons and surgical trainees.

Authors+Show Affiliations

Furness General Hospital, University Hospitals of Morecambe Bay NHS Trust, Barrow-in-Furness, Cumbria, UK. eagriffiths@btinternet.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22791842

Citation

Griffiths, Ewen A., et al. "Surgical Treatment of a Morgagni Hernia Causing Intermittent Gastric Outlet Obstruction." BMJ Case Reports, vol. 2010, 2010.
Griffiths EA, Ellis A, Mohamed A, et al. Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction. BMJ Case Rep. 2010;2010.
Griffiths, E. A., Ellis, A., Mohamed, A., Tam, E., & Ball, C. S. (2010). Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction. BMJ Case Reports, 2010. https://doi.org/10.1136/bcr.01.2010.2608
Griffiths EA, et al. Surgical Treatment of a Morgagni Hernia Causing Intermittent Gastric Outlet Obstruction. BMJ Case Rep. 2010 Nov 5;2010 PubMed PMID: 22791842.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction. AU - Griffiths,Ewen A, AU - Ellis,Andrew, AU - Mohamed,Ahmed, AU - Tam,Eddie, AU - Ball,Chris S, Y1 - 2010/11/05/ PY - 2012/7/14/entrez PY - 2010/1/1/pubmed PY - 2013/3/23/medline JF - BMJ case reports JO - BMJ Case Rep VL - 2010 N2 - A Morgagni hernia is a rare diaphragmatic hernia which develops through a congenital defect in the retrosternal area, usually on the right hand side. Because of its congenital aetiology, Morgagni hernias are rarely considered in the differential diagnosis of gastric outlet obstruction symptoms in adults. We present a patient with an incarcerated Morgagni hernia who presented with gastric outlet obstruction. A 77-year-old woman presented with symptoms and signs of gastric outlet obstruction, dehydration and acute renal impairment. She was treated by fluid resuscitation and nasogastric tube insertion. Radiological imaging showed a Morgagni hernia containing stomach, omentum and colon. This was treated surgically via an abdominal approach and the defect was closed with mesh. The patient recovered well from this procedure and was discharged. We discuss the anatomy, clinical presentation and surgical treatment of this rare diaphragmatic hernia to raise awareness among surgeons and surgical trainees. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/22791842/Surgical_treatment_of_a_Morgagni_hernia_causing_intermittent_gastric_outlet_obstruction_ L2 - https://casereports.bmj.com/lookup/pmidlookup?view=long&pmid=22791842 DB - PRIME DP - Unbound Medicine ER -