Doctor, My Chest is Deformed…..

Congenital chest wall deformities occurred in roughly 1% of children and if asymptomatic are often overlooked and taken lightly. This results in a progressive deformity of the chest and delays in diagnosis of the underlying causes. Complications can also develop from the underlying condition. Chest wall deformities are associated with a number of syndromes and other anomalies including abnormalities of the diaphragm. Congenital Diaphragmatic Hernia (CDH) is one of the underlying causes of chest deformity. Congenital Morgagni Hernia (CMH) is a rare form of CDH and consists of 3-5% in all CDH. Many cases were delayed in diagnosis due to the subtle presentation or were incidental findings. The consequence of delay in diagnosis can lead to the onset of complications which carries morbidities and even mortality. We report a case of a child with missed diagnosis of a rare condition Morgagni Diaphragmatic Hernia presenting with chest deformity.

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Morgagni hernia – case reports

Perspectives in Surgery ◽

10.33699/pis.2020.99.7.323-325 ◽

2020 ◽

Vol 99 (7) ◽

Keyword(s):

Diaphragmatic Hernia ◽

Case Reports ◽

Congenital Defect ◽

Morgagni Hernia ◽

Rare Form

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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LAPAROSCOPIC REPAIR OF MORGAGNI HERNIA – A PROSPECTIVE SINGLECENTER EXPERIENCE

10.36106/6713027 ◽

2021 ◽

pp. 36-38

Author(s):

Ankur Akela ◽

Prashant Kumar Singh

Keyword(s):

Surgical Treatment ◽

Diaphragmatic Hernia ◽

Laparoscopic Repair ◽

Polypropylene Mesh ◽

Laparoscopic Approach ◽

Morgagni Hernia ◽

Rare Form ◽

Surgical Cure ◽

The Mean ◽

Dual Mesh

Morgagni hernia occurs after a congenital retrosternal diaphragmatic defect; it is a rare form of diaphragmatic hernia (1-3% of cases). In general, this pathology is diagnosed in children; in adults it is frequently discovered in emergency or incidentally. Methods: We prospectively evaluated a series of 6 patients admitted to department of surgery IGIMS. Results: Out of 6 patients the laparoscopic approach was used in all cases: one conversion was recorded due to the tight adherences of the herniated viscera (gastric, colon, epiplon). In 4 cases, the surgical cure of hernia was performed by suture and in 2 cases with prosthesis: dual mesh in one case and polypropylene mesh in another case. We did not register morbidity and the mean postoperative stay was 4 days (range 2-6 days). Conclusions: Hernia Morgagni betrays a rare pathology. The most common is asymptomatic but in complicated cases it is a cause of acute surgical abdomen. Surgical treatment is indicated even for asymptomatic cases due to serious complications Morgagni hernia may develop. The laparoscopic approach is ideal, as reduction of viscera in the abdomen is easy and the defect will be repaired by suturing or using a prosthesis, depending on its size.

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Laparoscopic Repair of Morgagni Hernia: Three-Case Presentation and the Literature

Case Reports in Surgery ◽

10.1155/2016/4268539 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4 ◽

Cited By ~ 5

Author(s):

Gholamali Godazandeh ◽

Farzad Mokhtari-esbuie

Keyword(s):

Laparoscopic Surgery ◽

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Laparoscopic Repair ◽

Morgagni Hernia ◽

Rare Form ◽

Case Presentation ◽

Hernial Sac ◽

Gi Symptoms

Introduction. Morgagni hernia is a rare form of congenital diaphragmatic hernia.Case Presentation. We present three cases of Morgagni hernia with GI symptoms treated by laparoscopic surgery.Discussion. Hernial sac was excised in two cases and left in situ in one case. There was no recurrence in symptoms after 30 months from surgery.

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

Open Medicine ◽

10.2478/s11536-010-0061-2 ◽

2011 ◽

Vol 6 (1) ◽

pp. 131-135 ◽

Cited By ~ 1

Author(s):

Slavković Anđelka ◽

Marjanović Zoran ◽

Đorđević Ivona ◽

Jovanović Zorica ◽

Budić Ivana

Keyword(s):

Clinical Symptoms ◽

Pediatric Population ◽

Gastrointestinal Symptoms ◽

Rare Condition ◽

Associated Anomalies ◽

Morgagni Hernia ◽

Female Ratio ◽

Delay In Diagnosis ◽

Asymptomatic Patients ◽

Operative Findings

AbstractCongenital 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.

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“Upside Down Stomach”: Rare Form of Diaphragmatic Hernia

Gastroenterology ◽

10.1016/s0016-5085(52)80015-0 ◽

1952 ◽

Vol 21 (2) ◽

pp. 300-303 ◽

Cited By ~ 3

Author(s):

Raymond A. Gagliardi

Keyword(s):

Diaphragmatic Hernia ◽

Rare Form

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Multiple aplasia cutis congenita type V and fetus papyraceous: a case report and review of the literature

Journal of Medical Case Reports ◽

10.1186/s13256-021-02662-3 ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

V. Thadchanamoorthy ◽

Kavinda Dayasiri ◽

M. Thirukumar ◽

N. Thamilvannan ◽

S. H. Chandraratne

Keyword(s):

Rare Condition ◽

The Body ◽

Sri Lankan ◽

Aplasia Cutis Congenita ◽

Skin Defects ◽

Underlying Causes ◽

Cutis Aplasia ◽

Contracture Formation ◽

Type V ◽

Aplasia Cutis

Abstract Background Aplasia cutis congenita is regarded as congenital focal absence of skin in the newborn, and occurrence of more than three similar skin defects is rare. The etiology is thought to be multifactorial, and precise etiopathogenesis is unknown. Case presentation A 13-day-old newborn Sri Lankan Tamil girl was referred to the dermatologic clinic with multiple skin defects at birth. There were six lesions on the body, and two of them had healed during intrauterine period, leaving scars. This was a second twin of her pregnancy. Her first twin fetus had demised before 19 weeks of pregnancy and was confirmed to be fetus papyraceous based on ultrasound-guided fetal assessment. The said child was thoroughly investigated and found to have no other congenital abnormalities. Chromosomal studies yielded normal findings. She was treated with tropical antibacterial ointment, and all lesions resolved spontaneously within 4 weeks, leaving scars. Physiotherapy was commenced to prevent contracture formation, and follow-up was arranged in collaboration with the plastic surgical team. Conclusions Aplasia cutis congenita is a rare condition of uncertain etiology, but consanguinity may play a role. This report described a newborn with type V cutis aplasia congenita in whom the diagnosis was confirmed based on clinical features and revision of antenatal history. The management depends on the pattern, extent, location, severity, underlying causes, and associated anomalies.

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1130 An Obstructed Morgagni Hernia in Adulthood, Could Regular Cocaine Use Have Exacerbated Symptoms?

British Journal of Surgery ◽

10.1093/bjs/znab259.360 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

C Izard ◽

E Thorne ◽

M Ghallab ◽

A Agrawal

Keyword(s):

Emergency Department ◽

Case Report ◽

Diaphragmatic Hernia ◽

Transverse Colon ◽

Intrathoracic Pressure ◽

Review Of The Literature ◽

Morgagni Hernia ◽

Weekly Basis ◽

Cocaine Use ◽

Morgagni’S Hernia

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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Subungual Glomus Tumor- Clinical Presentation And Treatment

Bangladesh Journal of Plastic Surgery ◽

10.3329/bdjps.v3i2.18250 ◽

2014 ◽

Vol 3 (2) ◽

pp. 45-48 ◽

Cited By ~ 1

Author(s):

Shyamal Chandra Debnath ◽

Suman Kumar Roy ◽

RR Kairy

Keyword(s):

Soft Tissue ◽

Soft Tissue Tumor ◽

Clinical Presentation ◽

Glomus Tumor ◽

Rare Condition ◽

Surgical Excision ◽

Tissue Mass ◽

Delay In Diagnosis ◽

Nail Deformity

Glomus tumor is a rare condition and constitutes only 1 % of all soft tissue tumor of body. Glomus tumor is familiar for its unusual presentation and long standing symptoms due to delay in diagnosis. Authors have presented the clinical behavior and treatment of 7 patients with subungual soft tissue mass. Following surgical excision, all patients cured of symptoms, at the end of follow up, no recurrence occurred; post operative nail deformity was insignificant. DOI: http://dx.doi.org/10.3329/bdjps.v3i2.18250 Bangladesh Journal of Plastic Surgery July 2012, 3(2): 45-48

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Posterior reversible encephalopathy syndrome in HIV-positive patients: a case report and literature review

International Journal of STD & AIDS ◽

10.1177/0956462418758776 ◽

2018 ◽

Vol 29 (9) ◽

pp. 937-941 ◽

Cited By ~ 2

Author(s):

Erica RM Pool ◽

Michael Porte ◽

Nigel Durham ◽

Sue Urwin ◽

Paul Laboi ◽

...

Keyword(s):

Intensive Care Unit ◽

Posterior Reversible Encephalopathy Syndrome ◽

Rare Condition ◽

Rapid Diagnosis ◽

Cortical Blindness ◽

Hiv Positive ◽

Posterior Reversible Encephalopathy ◽

Aggressive Management ◽

Underlying Causes ◽

Reversible Encephalopathy

We are reporting the case of a woman who was admitted acutely to our intensive care unit without any collateral history. She was diagnosed with posterior reversible encephalopathy syndrome (PRES) as a consequence of poor adherence to anti-hypertensive, anti-diabetic and anti-retroviral medications. PRES is a rare condition, which may cause cortical blindness; contrary to its name it is not always reversible. Rapid diagnosis and aggressive management of underlying causes facilitate reversibility of PRES. We also summarise the literature on patients with HIV and PRES.

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Delayed Presentation of Posttraumatic Diaphragmatic Hernia Masquerading as Recurrent Acute Asthmatic Attack

Case Reports in Medicine ◽

10.1155/2017/5037619 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3

Author(s):

A. I. El-Yakub ◽

U. M. Bello ◽

A. A. Sheshe ◽

H. U. Naaya

Keyword(s):

Diaphragmatic Hernia ◽

Abdominal Injury ◽

Delayed Presentation ◽

Repeated Presentation ◽

Asthmatic Attack ◽

Blunt Abdominal Injury ◽

Missed Diagnosis

Diaphragmatic hernia following blunt abdominal injury is extremely rare and often diagnosed late. Missed diagnosis is also common with this condition. We herein present a delayed presentation of diaphragmatic hernia following blunt abdominal injury that was initially misdiagnosed as recurrent acute asthmatic attack due to repeated presentation with episodic difficulty in breathing.

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