medigraphic.com
ISSN 1561-2945 (Print)

2014, Number 2

<< Back Next >>

Revista Cubana de Cirugía 2014; 53 (2)

Non traumatic complicated diaphragmatic hernia in an old man

Hernández EML, Gálvez TO, Ceballos HM, Ceballos BMC, Solís CSL, Enríquez RI

Language: Spanish
References: 9
Page: 182-187
PDF size: 154.86 Kb.


ABSTRACT

Morgagni hernia is an uncommon variety of non-traumatic diaphragmatic hernia, usually located in the right-side anterior diaphragm. A big herniary sac, which contained the greater omentum, the stomach, and the transverse colon incarcerated due to a retrosternal diaphragmatic defect, was found in an old male patient. This is very unusual finding in the elderly. This patient had a history of cholelithiasis, duodenal ulcer and diastasis recti. He was admitted at the hospital with chest pain, epigastralgia, aerogastria, upper abdominal distension, and vomits. He underwent emergency radiological studies. The diagnosis was based on chest posterior-anterior and lateral Xrays of the chest and the abdomen. Emergency laparotomy was performed to find Morgagni hernia without any vascular effect. The content was removed, the hernia sac was excised, the Morgagni foramen was repaired and cholecistectomy was performed. The recovery of the patient was complete and immediate postoperatively. The sixmonth follow-up showed no hernia recurrence.


REFERENCES

  1. Feldman M, Friedman LS, Sleisenger MH. Enfermedades Gastrointestinales y Hepáticas. Fisiopatología, diagnóstico y tratamiento. 4ta. ed. Buenos Aires: Editorial Médica Panamericana; 2004.

  2. González Pardo Díaz I, Pérez Cruz N, Rodríguez Núñez B, Betancourt Companioni P. Hernia diafragmática de Morgagni: reporte de un caso. Mediciego. 2007[citado 20 Dic 2013];13(1):[aprox. 7 p]. Disponible en: http://www.bvs.sld.cu/revistas/mciego/vol13_01_07/casos/c6_v13_0107.htm

  3. Eroglu A, Can Kurkcouglu I, et al. Combination of paraesophageal hernia and Morgagni hernia in an old patient. Diseases of the Esophagus. 2003;16(2):151-3.

  4. Kim SW, Jung SH, Kang SH. A case of left-sided Morgagni hernia complicating incarcerated small bowel hernia. Korean J Gastroenterol. 2008;51(1):52-5.

  5. Portal Benítez LN, Medrano Plana Y, Zurbano Fernández J, Pérez de Armas RA. Hernia de Morgagni como causa de síndrome pilórico. Reporte de un caso y revisión del tema. Kirurgia. 2006[citado 20 Dic 2013];(3):[aprox. 5p]. Disponible en: http://www.sc.ehu.es/scrwwwsr/kirurgia/20063/Morgagni.htm

  6. Agulló AG, Moreno Hernando J, Balagué Galito E, Iriondo Sanz M, y cols. Hernia diafragmática congénita: Análisis de dos formas de tratamiento. An Esp Pediatr. 1997;46(5):477-81.

  7. Angrisani L, Lorenzo M, Santoro T, Sodano A, Tesauro B. Hernia of Foramen of Morgagni in Adult: Case Report of Laparoscopic Repair. Journal of the Society of Laparoendoscopic Surgeons. 2000;4(2):177-181.

  8. Percivale A, Stella M, Durante V, Dogliotti L, Serafini G, Saccomani G, et al. Laparoscopic treatment of Morgagni-Larrey hernia: technical details and report of a series. Journal of Laparoendoscopic and Advanced Surgical Techniques. 2005;15(3):303-7.

  9. Ipek T, Altinli E, Yucevar S, Erturk S, Eyuboglu E, Akcal T, et al. Laparoscopic repair of a Morgagni-Larrey hernia: report of three cases. Journal of Surgery Today. 2002;32(10):902-5.




2020     |     www.medigraphic.com