Is this a mediastinal tumor? A case of Morgagni hernia complicated with intestinal incarceration mistaken for the mediastinal lipoma previously

Morgagni hernia is a rare form of diaphragmatic hernia. It is a congenital defect of the diaphragm, often asymptomatic in adulthood and thus usually found only incidentally. Its treatment is predominantly surgical. This article presents three case reports of patients operated in our department.

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A RARE ASSOCIATION OF MORGAGNI HERNIA WITH DOWN SYNDROME.

International Journal of Advanced Research ◽

10.21474/ijar01/2180 ◽

2016 ◽

Vol 4 (11) ◽

pp. 1044-1048

Author(s):

Kumaraguru. V ◽

◽

AshokSwaminathan Govindarajan ◽

Subramanian C.S ◽

Prof.T.R.K. Madhavan ◽

...

Keyword(s):

Down Syndrome ◽

Morgagni Hernia ◽

Rare Association

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A Case of Severe Tracheobronchial Compression and Superior Vena Cava Syndrome by Huge Anterior Mediastinal Tumor

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA ◽

10.2199/jjsca.32.555 ◽

2012 ◽

Vol 32 (4) ◽

pp. 555-559

Author(s):

Takako SASAI ◽

Kyoichiro MAESHIMA ◽

Satoshi SUZUKI ◽

Tetsuya DANURA ◽

Keiji GOTO ◽

...

Keyword(s):

Superior Vena Cava ◽

Mediastinal Tumor ◽

Superior Vena Cava Syndrome ◽

Superior Vena ◽

Vena Cava ◽

Anterior Mediastinal Tumor ◽

Vena Cava Syndrome

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Aortic transection for resection of middle mediastinal tumor

Acta Chirurgica Belgica ◽

10.1080/00015458.2021.1900522 ◽

2021 ◽

pp. 1-4

Author(s):

Julie Bierler ◽

Alain Poncelet ◽

Valérie Lacroix

Keyword(s):

Mediastinal Tumor ◽

Middle Mediastinal Tumor ◽

Aortic Transection

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Specific airway management for SVC replacement during giant anterior mediastinal tumor resection

JA Clinical Reports ◽

10.1186/s40981-020-00377-w ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Izumi Kawagoe ◽

Daizoh Satoh ◽

Chieko Mitaka ◽

Masataka Fukuda ◽

Tsukasa Kochiyama ◽

...

Keyword(s):

Mediastinal Tumor ◽

Main Bronchus ◽

Superior Vena ◽

Tumor Resection ◽

Left Lung ◽

Vena Cava ◽

Double Lumen Tube ◽

Lower Airway ◽

Tumor Spread ◽

Anterior Mediastinal Tumor

Abstract Background Giant anterior mediastinal tumor (GAMT) resection is a challenging procedure, for which anesthesiologist might take to need special precautions. Case presentation A 48-year-old male patient had been scheduled to undergo GAMT resection and superior vena cava (SVC) replacement. The tumor spread surrounding SVC and left main bronchus (LMB), resulting in small volume of his left lung. A soft left-sided double lumen tube (DLT) was selected to keep the patency of LMB during left one lung ventilation (OLV) against the tumor weight. Semi-awake intubation with spontaneous breathing was selected for DLT insertion to avoid lower airway occlusion. During left OLV after right open thoracotomy, his SPO2 decreased below to 90%. We performed selective right upper lobe bronchial blockade using the combination of DLT and bronchial blocker. The surgery was successfully completed with this strategy. Conclusions Although such cases are rare, they are informative for anesthesiologists, providing optional strategies.

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