Morgagni hernia in adult: A case report

Abstract Introduction Morgagni hernias are an uncommon form of diaphragmatic hernia, it is rare for them to be diagnosed in adulthood and they are often asymptomatic in this population. Case Report We report a case of a 26-year-old female who used cocaine on a weekly basis who presented to the emergency department with an acutely obstructed right-sided Morgagni’s hernia. She underwent laparotomy which demonstrated transverse colon with ischaemic associated omentum inside the hernia. The hernia was reduced, the ischaemic omentum was excised and the 4x4cm diaphragmatic defect closed with 2-0 ethibond without mesh. Conclusions Following review of the literature, the medical risks of cocaine use are well documented, however they focus on the risks from a pharmacological perspective. Further thought should be given to the effects of inhalant cocaine use and how this may exacerbate herniation from the drastic changes in intrathoracic pressure during inhalation of the substance, this is a new possible risk of cocaine use that is not previously mentioned in the literature and warrants further investigation.

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Single‐incision laparoscopic full‐thickness anterior abdominal wall repair of a Morgagni hernia using a suture‐assisting needle in a child: A case report

Asian Journal of Endoscopic Surgery ◽

10.1111/ases.12864 ◽

2020 ◽

Author(s):

Yudai Goto ◽

Kotaro Mimori ◽

Seiya Ogata ◽

Hirofumi Shimizu ◽

Yutaka Fukuda ◽

...

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Single Incision ◽

Anterior Abdominal Wall ◽

Full Thickness ◽

Morgagni Hernia ◽

Abdominal Wall Repair

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Case report: 19M old boy with Morgagni Hernia associated with intestinal malrotation

Journal of Pediatric Surgery Case Reports ◽

10.1016/j.epsc.2019.101341 ◽

2020 ◽

Vol 52 ◽

pp. 101341

Author(s):

A.G. Blood ◽

Z.L. Whaley ◽

A.V. Kadenhe-Chiweshe ◽

N.A. Spigland

Keyword(s):

Case Report ◽

Intestinal Malrotation ◽

Morgagni Hernia

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Wandering Spleen and Organoaxial Gastric Volvulus after Morgagni Hernia Repair: A Case Report and Review of the Literature

Case Reports in Surgery ◽

10.1155/2016/6450765 ◽

2016 ◽

Vol 2016 ◽

pp. 1-9

Author(s):

Noemi Cantone ◽

Caterina Gulia ◽

Vittorio Miele ◽

Margherita Trinci ◽

Vito Briganti

Keyword(s):

Case Report ◽

Diaphragmatic Hernia ◽

Clinical Presentation ◽

Treatment Options ◽

Gastric Volvulus ◽

Diagnostic Assessment ◽

Wandering Spleen ◽

Review Of The Literature ◽

Morgagni Hernia ◽

Assessment And Treatment

Wandering spleen and gastric volvulus are two rare entities that have been described in association with congenital diaphragmatic hernia. The diagnosis is difficult and any delay can result in ischemia and necrosis of both organs. We present a case of a 13-year-old girl, previously operated on for anterior diaphragmatic hernia and intrathoracic gastric volvulus, that presented to our service for a subdiaphragmatic gastric volvulus recurrence associated with a wandering spleen. In this report we reviewed the literature, analyzing the clinical presentation, diagnostic assessment, and treatment options of both conditions, in particular in the case associated with diaphragmatic hernia.

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