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Incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy.
Med Arch. 2013; 67(1):73-4.MA

Abstract

We present an incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy who was admitted to clinic due to abdominal pain and symptoms of intestinal obstruction. An 85-old male patient had a history of constipation, abdominal distension, pain, vomiting, nausea and radiographic features of bowel obstruction and mediastinal mass in right lower chest. Under suspicion of acute intestinal obstruction due to transverse colon herniation in thorax through Morgagni foramen, emergent laparotomy was performed. Morgagni foramen was located on the right-sided anterior diaphragm and Morgagni hernia which contained of incarcerated transverse colon, greater omentum and 70 cm small bowel after releasing the adhesions was gently reduced. In the same time right-sided colon malignancy was found. Morgagni foramen measuring 7 cm in diameter was sutured first and decompressive bypass ileocolic anastomosis was created. The role of emergent surgery, even in advanced age, is emphasized.

Authors+Show Affiliations

Gaco S
Department of General Surgery, Cantonal Hospital Bihac, Bihac, Bosnia and Herzegovina. dzgaco@bih.net.ba
Krdzalic G
No affiliation info available
Krdzalic A
No affiliation info available

MeSH

Aged, 80 and overColonic NeoplasmsHernia, DiaphragmaticHumansIntestinal ObstructionMale

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23678846

Citation

Gaco, Suad, et al. "Incarcerated Morgagni Hernia in an Octogenarian With Incidental Right-sided Colonic Malignancy." Medical Archives (Sarajevo, Bosnia and Herzegovina), vol. 67, no. 1, 2013, pp. 73-4.
Gaco S, Krdzalic G, Krdzalic A. Incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy. Med Arch. 2013;67(1):73-4.
Gaco, S., Krdzalic, G., & Krdzalic, A. (2013). Incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy. Medical Archives (Sarajevo, Bosnia and Herzegovina), 67(1), 73-4.
Gaco S, Krdzalic G, Krdzalic A. Incarcerated Morgagni Hernia in an Octogenarian With Incidental Right-sided Colonic Malignancy. Med Arch. 2013;67(1):73-4. PubMed PMID: 23678846.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy. AU - Gaco,Suad, AU - Krdzalic,Goran, AU - Krdzalic,Alisa, PY - 2013/5/18/entrez PY - 2013/5/18/pubmed PY - 2013/10/18/medline SP - 73 EP - 4 JF - Medical archives (Sarajevo, Bosnia and Herzegovina) JO - Med Arch VL - 67 IS - 1 N2 - We present an incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy who was admitted to clinic due to abdominal pain and symptoms of intestinal obstruction. An 85-old male patient had a history of constipation, abdominal distension, pain, vomiting, nausea and radiographic features of bowel obstruction and mediastinal mass in right lower chest. Under suspicion of acute intestinal obstruction due to transverse colon herniation in thorax through Morgagni foramen, emergent laparotomy was performed. Morgagni foramen was located on the right-sided anterior diaphragm and Morgagni hernia which contained of incarcerated transverse colon, greater omentum and 70 cm small bowel after releasing the adhesions was gently reduced. In the same time right-sided colon malignancy was found. Morgagni foramen measuring 7 cm in diameter was sutured first and decompressive bypass ileocolic anastomosis was created. The role of emergent surgery, even in advanced age, is emphasized. SN - 0350-199X UR - https://www.unboundmedicine.com/medline/citation/23678846/Incarcerated_Morgagni_hernia_in_an_octogenarian_with_incidental_right_sided_colonic_malignancy_ L2 - http://www.diseaseinfosearch.org/result/4869 DB - PRIME DP - Unbound Medicine ER -