scholarly journals The waiting game: laparoscopic repair of dual Morgagni and paraesophageal hernias in an elderly, infirm patient

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Ami P Patel ◽  
Dorsa Samsami ◽  
Chloe Lee ◽  
Asif Lakha ◽  
Eli D Ehrenpreis
Keyword(s):  
Chest Pain ◽  
Laparoscopic Repair ◽  
Paraesophageal Hernia ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Morgagni Hernia ◽  
Severe Chest Pain ◽  
Elderly Female ◽  
Abdominal Organs ◽  
Early Surgical Intervention

Abstract Morgagni hernias are congenital diaphragmatic disruptions that occur when intra-abdominal organs herniate posterior to the sternum. It is very rare to concomitantly diagnose a paraesophageal hernia (PEH) in a patient with a Morgagni hernia. Here, we describe an elderly female patient presenting with severe chest pain subsequently diagnosed with a non-strangulated Morgagni hernia as well as PEH. She underwent successful robotic laparoscopic surgical repair of the hernias with resolution of her symptoms. This case demonstrates the need for early surgical intervention of Morgagni hernias to prevent sequelae, such as strangulation, and the rising benefits of laparoscopic repairs in adult patients.

scholarly journals Intestinal Perforation during the Stabilization Period in a Preterm Infant with Congenital Diaphragmatic Hernia

2017 ◽  
Vol 05 (01) ◽  
pp. e51-e54
Author(s):  
Zbyněk Straňák ◽  
Karel Pýcha ◽  
Simona Feyereislova ◽  
Jaroslav Feyereisl ◽  
Michal Rygl
Keyword(s):  
Birth Weight ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Intestinal Perforation ◽  
Surgical Repair ◽  
Very Low Birth Weight ◽  
Surgical Intervention ◽  
Multiple Organ ◽  
Stabilization Period ◽  
Early Surgical Intervention

Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal stabilization period. Case Report A neonate born at 31st week of gestation with a birth weight of 1,470 g with antenatally diagnosed left-sided CDH presented with bowel dilation leading to transmural bowel perforations on the 2nd day of life. Meconium pleuroperitonitis resulted in severe systemic inflammatory response syndrome, pulmonary hypertension, multiple organ failure, and death. Conclusion In neonates with CDH deteriorating under standard postnatal management, intestinal perforation, and early surgical intervention should be considered.

Strangulated Morgagni hernia masquerading as an acute coronary syndrome

2021 ◽  
Vol 14 (7) ◽  
pp. e244045
Author(s):  
May Honey Ohn ◽  
Jun Rong Ng ◽  
Theviga Neela Mehan ◽  
Ng Pey Luen
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Surgical Repair ◽  
Bleeding Risk ◽  
Emergency Laparotomy ◽  
Morgagni Hernia ◽  
X Ray ◽  
Coronary Syndrome ◽  
The Right ◽  
Rule Out

Morgagni hernia is the rarest type of congenital diaphragmatic hernia, which can present late in adulthood. Here, we report a case of Morgagni hernia in an elderly woman who presented as an acute coronary syndrome with raised troponin level. X-ray of the chest (CXR) showed air–fluid level in the right lower hemithorax with loss of right diaphragmatic outline and subsequently confirmed strangulated Morgagni hernia with CT. She was treated with emergency laparotomy to reduce the hernia content and surgical repair with mesh done. In conclusion, Troponin can be falsely positive in Morgagni hernia patients, possibly due to strain on the heart by herniated bowel contents. Basic imaging such as a (CXR) is useful in the case of chest pain to rule out the non-cardiac causes. Although ‘time is the myocardium’ in the setting of all cases of chest pain with raised troponin, CXR should be done before treatment that poses bleeding risk and unnecessary delay in laparotomy.

Surgical repair in neonatal life of cardiac haemangiomas diagnosed prenatally

2009 ◽  
Vol 19 (4) ◽  
pp. 403-406 ◽  
Author(s):  
Jayendra Sharma ◽  
Yasutaka Hirata ◽  
Ralph S. Mosca
Keyword(s):  
Surgical Repair ◽  
Surgical Intervention ◽  
Neonatal Period ◽  
Good Prognosis ◽  
Great Accuracy ◽  
Antenatal Ultrasound ◽  
Cardiac Tumours ◽  
Neonatal Life ◽  
Perinatal Management ◽  
Early Surgical Intervention

AbstractAlthough cardiac tumours are rare, such tumours are increasingly being diagnosed with increasing frequency and great accuracy by antenatal ultrasound. Cardiac haemangiomas account for less than one-twentieth of all primary cardiac tumours, with most being diagnosed in the neonatal period. We report 3 instances of successful neonatal resection of cardiac haemangioma subsequent to prenatal diagnosis. Such diagnosis is important in perinatal management, since early surgical intervention provides a good prognosis.

Adult Aortotracheal Fistula as Sequela of Double Aortic Arch Repair in Infancy: A Case Report

2020 ◽  
Vol 129 (7) ◽  
pp. 649-652
Author(s):  
Andrew B. Rees ◽  
Jennifer P. Rodney ◽  
Mark R. Gilbert ◽  
Clayton A. Kaiser ◽  
Alexander H. Gelbard
Keyword(s):  
Aortic Arch ◽  
Digeorge Syndrome ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Vascular Ring ◽  
Clinical History ◽  
Double Aortic Arch ◽  
Aortic Arch Repair ◽  
Early Surgical Intervention

Introduction: Double aortic arch is a rare congenital malformation of the aortic arch that most frequently presents in childhood. Early surgical intervention typically yields excellent outcomes. Objectives: To describe aortotracheal fistula as a rare, yet serious complication of vascular ring and subsequent aortic aneurysm in an adult patient. Methods: Clinical history, as well as radiographic and endoscopic imaging were obtained to describe the development, diagnosis, and clinical course of this patient’s aortotracheal fistula. Additionally, follow up data was obtained to document the healing of this fistula after surgical repair. Results: We describe a case of a 46-year-old male with DiGeorge Syndrome and a double aortic arch, repaired in childhood, which developed into an aortotracheal fistula after tracheostomy placement as an adult. Conclusions: This case demonstrates that dangerous complications of a double aortic arch can persist into adulthood, even after surgical repair in infancy. Each patient’s unique anatomy must be considered when thinking about airway management and prevention of complications of this rare congenital anomaly.

scholarly journals Immediate Surgical Management of Traumatic Dislocation of the Eye Globe into the Maxillary Sinus: Report of a Rare Case and Literature Review

2017 ◽  
Vol 10 (2) ◽  
pp. 151-158 ◽  
Author(s):  
Samer Abduljabar Noman ◽  
Mostafa Ibrahim Shindy
Keyword(s):  
Maxillary Sinus ◽  
Rare Case ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Maximum Amount ◽  
Orbital Fracture ◽  
Light Perception ◽  
Review Of Literature ◽  
Traumatic Dislocation ◽  
Early Surgical Intervention

We report a case of complete dislocation of the globe into the maxillary sinus, with immediate repositioning of the globe. This report highlights the importance of early surgical repair of orbital fracture and globe repositioning to regain the maximum amount of ocular functions. A review of literature found 19 cases of globe dislocation into the maxillary sinus: One case was enucleated 2 months after misdiagnosis as traumatic enucleation, six cases were documented no vision or no light perception, three cases did not have reported vision (patients did not survive), and nine cases with postoperative vision. We recommend early surgical intervention to restore the cosmetic and visual function of the dislocated eye.

Paroxysmal Postprandial Atrial Fibrilation Suppressed by Laparoscopic Repair of a Giant Paraesophageal Hernia Compressing the Left Atrium

2015 ◽  
Vol 24 (1) ◽  
pp. 113-116 ◽  
Author(s):  
Daniel A. Cristian ◽  
Alin S. Constantin ◽  
Mariana Barbu ◽  
Dan Spătaru ◽  
Traean Burcoș ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrium ◽  
Laparoscopic Repair ◽  
Left Atrial ◽  
Paraesophageal Hernia ◽  
Surgical Repair ◽  
Atrial Wall ◽  
Left Atrial Wall ◽  
Atrial Fibrilation

We present the case of a patient with a giant paraesophageal hernia associated with paroxysmal postprandial atrial fibrillation that was suppressed after surgery. The imaging investigations showed the intrathoracic displacement of a large part of the stomach, which pushed the left atrial wall causing atrial fibrillation. The laparoscopic surgical repair acted as sole treatment for this condition.

scholarly journals Laparoscopic repair of a Morgagni hernia with extra-abdominal transfascial sutures

2019 ◽  
Vol 12 (1) ◽  
pp. e227600 ◽  
Author(s):  
Carlos Costa Almeida ◽  
Teresa Vieira Caroço ◽  
Oriana Nogueira ◽  
Armando Infuli
Keyword(s):  
Laparoscopic Repair ◽  
Gold Standard ◽  
Minimal Invasive Surgery ◽  
Surgical Repair ◽  
Minimal Invasive ◽  
Morgagni Hernia ◽  
Absorbable Sutures ◽  
The Times ◽  
Simple Repair

Morgagni hernia is a congenital diaphragmatic hernia. It is rare, usually asymptomatic, and most of the times incidentally discovered during adulthood. A 77-year-old female patient was incidentally diagnosed with Morgagni hernia. Meanwhile, because of abdominal pain she resorted to the emergency department. A CT scan was performed. A laparoscopic repair with extra-abdominal transfascial sutures was conducted. At 3-month follow-up, the patient is asymptomatic. Surgical repair of Morgagni hernia is always indicated because of the risk of strangulation of hernia contents. Minimal invasive surgery is the gold standard, and laparoscopy is the preferred approach. Morgagni hernia does not have an anterior rim, which makes it technically difficult to close the defect. Extra-abdominal transfascial technique was used to repair the defect, eliminating the need for intracorporeal sutures. For small defects, simple repair with non-absorbable sutures using extra-abdominal transfascial technique is easy and efficient.

scholarly journals Laparoscopic approach in the treatment of Morgagni hernia

2020 ◽  
Vol 28 (3) ◽  
pp. 514-520
Author(s):  
Ali Bilal Ulaş
Keyword(s):  
Retrospective Study ◽  
Laparoscopic Repair ◽  
Surgical Repair ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Efficacy And Safety ◽  
Morgagni Hernia ◽  
Hernia Sac ◽  
Absorbable Sutures ◽  
Safe Approach

Background: In this study, we aimed to evaluate the efficacy and safety of primary laparoscopic repair of Morgagni hernia. Methods: In this retrospective study, a total of 12 patients (4 males, 8 females; mean age 56.5±14.9 years; range, 32 to 80 years) who underwent primary laparoscopic repair for Morgagni hernia between January 2014 and December 2019 were included. In all cases, the hernia sac was excised and the defect was repaired primarily with non-absorbable sutures. Results: All patients had excellent outcomes and were uneventfully discharged from the hospital after a mean length of hospital stay of 4.6±1.3 days (range, 3 to 7 days). No mortality, morbidity or recurrence were observed in any of the patients. Conclusion: The primary laparoscopic repair is an effective and safe approach to surgical repair for Morgagni hernia in experienced hands.

Laparoscopic repair of transdiaphragmatic intercostal hernia following blunt trauma

Trauma ◽  
2021 ◽  
pp. 146040862110052
Author(s):  
Woo Young Nho ◽  
Jae Oh Kim ◽  
Soon Young Nam ◽  
Se Kook Kee
Keyword(s):  
Minimally Invasive Surgery ◽  
Case Report ◽  
Chest Pain ◽  
Laparoscopic Repair ◽  
Surgical Intervention ◽  
Hernia Recurrence ◽  
Rare Clinical Entity ◽  
Associated Injuries ◽  
Intercostal Hernia ◽  
Transdiaphragmatic Intercostal Hernia

Background Transdiaphragmatic intercostal hernia (TIH) is a rare clinical entity that generally occurs following trauma or surgical intervention, but it may occur spontaneously Case Report An 82-year-old Korean man presented with left-sided chest pain after falling off an agricultural vehicle. Physical examination revealed a bruised painful swelling in the left lower chest wall confirmed as hernia of the transverse colon and omentum through a defect in the diaphragm into the 7th intercostal space. Laparoscopic repair with a prosthetic mesh was successful with no sign of hernia recurrence 3 years after injury. Discussion TIH is uncommon. Depending on the associated injuries they may be repaired via the chest or abdomen and with the widespread advent of minimally invasive surgery this can be achieved laparoscopically or thoracoscopically. Small defects can be closed directly, but larger defects will require mesh coverage. Care should be taken to avoid using fixation tacks close to the central tendon and are best suited to peripheral defect repairs.

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