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2011 | 6 | 1 | 131-135
Tytuł artykułu

Congenital herniation through the foramen Morgagni - clinical presentation, diagnosis and treatment in pediatric population

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Congenital Morgagni hernia is a rare entity, accounting for less than 1,5% of all types of congenital diaphragmatic hernias. The majority of Morgagni hernias are diagnosed late because patients can be asymptomatic or present with non-specific respiratory and gastrointestinal symptoms and signs. The medical records of all patients diagnosed with CMH and treated in our hospital were retrospectively reviewed for age at diagnosis, sex, site of hernia, clinical symptoms, associated anomalies, operative findings and treatment. Over a 20-year period, 5 cases with CMH diagnoses were hospitalized and operated. The age of diagnosis ranged from nine months to 11 years. Male to female ratio was 3:2. Associated anomalies were seen in 2 patients (40%). Most patients had transabdominal operations. There were no complications in the postoperative period. Morgagni hernia is a rare condition. The rarity is due to the nonspecific presentation of symptoms, which contributes to a delay in diagnosis. We advocate surgical repair even in asymptomatic patients, because of the risk of strangulation. There is a low rate of complications.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
6
Numer
1
Strony
131-135
Opis fizyczny
Daty
wydano
2011-02-01
online
2010-12-16
Twórcy
  • Pediatric Surgery Clinic, 18000, Niš, Serbia
  • Pediatric Surgery Clinic, 18000, Niš, Serbia
  • Pediatric Surgery Clinic, 18000, Niš, Serbia
autor
  • Department of Anestesiology, Pediatric Surgery Clinic, 18000, Niš, Serbia
Bibliografia
  • [1] Al-Salem AH, Nawaz A, Matta H, Jacobsz A. Herniation through the foramen of Morgagni: Early diagnosis and treatment. Pediatr Surg Int 2002;18:93–97 http://dx.doi.org/10.1007/s003830100653[Crossref]
  • [2] Ceylan E, Onen A, Sanli A, Yilmaz E, Ucan ES. Morgagni hernia: late diagnosis in a case with Down Syndrome. Respiration 2004;71: 641 http://dx.doi.org/10.1159/000081767[Crossref]
  • [3] Colie DA, Turnbull CM, Shaw TR, Price WH. Case report: MRI appearances of left sided Morgagni hernia containing liver. Br J Radiol 1996;69:278–803 http://dx.doi.org/10.1259/0007-1285-69-819-278[Crossref]
  • [4] Cacmaki O, Pektas O, Baskin D. Retrosternal (Morgagni) hernia with small bowel obstruction secondary to Richter’s incarceration. Pediatr Surg Int 1990;5:274–275
  • [5] Kiliç D, Nadir A, Döner E, Özdemir N, Kavukçu S, Akal M, et al. Transthoracic approach in surgical management of Morgagni hernia. Eur J Cardiothorac Surg 2001;20:1060–1069 http://dx.doi.org/10.1016/S1010-7940(01)00934-4[Crossref]
  • [6] Kuster GG, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendoscopic Surg 1992;2:93–100 [Crossref]
  • [7] Arráez-Aybar LA, González-Gómez CC, Torres-García AJ. Morgagni-Larrey parasternal diaphragmatic hernia in the adult. Rev Esp Enferm Dig. 2009 May;101(5):357–366 http://dx.doi.org/10.4321/S1130-01082009000500009[Crossref]
  • [8] Berman L, Stringer DA, Ein SH, Shandling B. The late presenting pediatric Morgagni hernia: a benign condition. J Pediatr Surg 1989;24:970–972 http://dx.doi.org/10.1016/S0022-3468(89)80193-9[Crossref]
  • [9] Pokorney WJ, McGill CW, Herberg FJ. Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg 1984;19:394–397 http://dx.doi.org/10.1016/S0022-3468(84)80260-2[Crossref]
  • [10] Federico JA, Ponn RB. Foramen of Morgagni hernia. In: Shields TW, LoCicero III J, Ponn RB, (Eds). General thoracic surgery. 5th ed., Philadelphia: Lippincott Williams and Wilkins; 2000
  • [11] Loong TP, Kocher HM. Clinical presentation and operative repair of hernia of Morgagni. Surgery Today 2003;32:902–905
  • [12] Minneci PC, Deans KJ, Kim P, Mathisen DJ. Foramen of Morgagni hernia: changes in diagnosis and treatment. Ann Thorac Surg 2004;77:1956–1959 http://dx.doi.org/10.1016/j.athoracsur.2003.12.028[Crossref]
  • [13] Richardson WS, Bolton JS. Laparoscopic repair of congenital diaphragmatic hernias. J Laparoendosc Adv Surg Tech A 2002;12(4):277–280 http://dx.doi.org/10.1089/109264202760268078[Crossref]
  • [14] Huntington TR. Laparoscopic transabdominal preperitoneal repair of a hernia of Morgagni. J Laparoendosc Surg 1996; 6:131–3 [Crossref][PubMed]
  • [15] Rau HG, Schardey HM, Lange V. Laparoscopic repair of Morgagni hernia. Sur Endosc 1994;8:1439–1442
  • [16] Skari H, Bjornland K, Haugen G, Egeland T, Emblem R. Congenital diaphragmatic hernia: a meta-analysis of mortality factors. J Pediatr Surg 2000;35(8):1187–1197 http://dx.doi.org/10.1053/jpsu.2000.8725[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-010-0061-2
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