medigraphic.com
ISSN 1561-302X (Print)

2023, Number 1

<< Back Next >>

Rev cubana med 2023; 62 (1)

Morgagni's hernia in adulthood

Pérez-Assef JJ, Hernández-Valle JL, Almanza-Betancourt TC

Language: Spanish
References: 11
Page: 1-7
PDF size: 315.78 Kb.


ABSTRACT

Introduction: Morgagni's hernia is a rare congenital anomaly, responsible for 3% of diaphragmatic hernias, which causes paracardiac and retrosternal radiological opacities that are often confused with other conditions.
Objective: To report the case of an adult patient diagnosed with Morgagni's hernia at “Dr. Antonio Luaces Iraola” General Teaching Hospital from Ciego de Avila.
Clinical casereport: We report the case of a 28-year-old man with history of severe chest contusion, who showed abdominal pain, dyspepsia, recurrent pain in the lower posterior region of the right hemithorax, slight shortness of breath, and dry cough. With the use of the correct clinical method, other possible diagnoses were excluded from what was previously raised. Imaging studies concluded to be a Morgagni hernia. Surgical treatment was performed by conventional laparotomy. The evolution was favorable, without postoperative complications and with early hospital discharge.
Conclusions: The case of a patient diagnosed with Morgagni's hernia was reported. It constituted a rare type of hernia in adults. Its diagnosis should be taken into account in patients with digestive or respiratory clinical manifestations, showing paracardiac radiopacity on chest X-ray. Timely surgical treatment is necessary to prevent possible complications.


REFERENCES

  1. Agalar C, Atila K, Arslan NÇ, Derici ZS, Bora S. Adult Morgagni hernia: A single-center experience of five cases and a review of literature. Turk J Surg. 2018 [acceso: 10/12/2021]. Disponible en: https://doi.org/10.5152/turkjsurg.2018.39291.

  2. Rodríguez-Blanco HZ, Montero-Ferrer S, Nodal-Ortega J. Hernia de Morgagni en el adulto. Rev Cuban Cir. 2018 [acceso: 10/12/2021];57(3):9 Disponible en: Disponible en: http://revcirugia.sld.cu/index.php/cir/article/view/578/347 2.

  3. Martínez-Hernández R, Márquez-Toscano SR, Montoya-Alarcón P. Revisión de la literatura de la hernia de Morgagni y presentación de un caso. Cirujano General. 2019 [acceso: 10/12/2021];41(2):98-104. Disponible en: http://www.scielo.org.mx/pdf/cg/v41n2/1405-0099-cg-41-02-98.pdf3.

  4. Valdivielso-Cortázar E, Carral-Martínez D, Gómez-Gutiérrez M, Bouzón-Alejandro A. Hernia de Morgagni de presentación en la edad adulta. Rev Esp Enferm Dig. 2018 [acceso: 10/12/2021];110(5):335. Disponible en: https://scielo.isciii.es/pdf/diges/v110n5/1130-0108-diges-110-05-00335.pdf4.

  5. Vega-Duran RJ, Vega-Finsterbusch RJ, Turner V. Asociación síndrome de Down, malformación anorrectal y hernia de Morgagni: descripción de un caso clínico. Rev Med Int Sindr Down. 2017;21(2):33-35. DOI: https://doi.org/10.1016/j.sd.2017.07.0015.

  6. Maldonado-García EL, Nacud-Bezies YA, Zamora-Pérez L, García-López R, Contreras-Rojas C. Hernia de Morgagni: reporte de un caso. Cirujano General. Dic 2018 [acceso: 10/12/2021];40(4):275-78. Disponible en: https://www.medigraphic.com/pdfs/cirgen/cg-2018/cg184i.pdf6.

  7. Târcoveanu E, Georgescu S, Vasilescu A, Andronic D, Dãnilã N, Lupascu C, et al.Laparoscopic Management in Morgagni Hernia - Short Series and Review of Literature. Chirurgia. 2018;113(4):551-57. DOI: http://doi.org/10.21614/chirurgia.113.4.5517.

  8. Hernández-Echevarría ML, Gálvez-Toledo O, Ceballos-Hernández M, Ceballos-Barrera MC, Solís-Chávez SL, Enríquez-Rodríguez I. Hernia diafragmática no traumática complicada en un anciano. Rev Cuban Cir. 2014 [acceso: 10/12/2021];53(2):182-87. Disponible en: http://scielo.sld.cu/pdf/cir/v53n2/cir08214.pdf8.

  9. Dávila-Jaimes G, Sánchez-Sotelo VM, Yáñez-Aquino P. Reparación laparoscópica de hernia diafragmática de Morgagni. Reporte de caso. Cirugía Endoscópica. 2018 [acceso: 12/01/2022];19(3):122-25. Disponible en: https://www.medigraphic.com/pdfs/endosco/ce-2018/ce183g.pdf9.

  10. Garza JC, Garza DV, Montes FT, Hernández MG, Muñoz GM. Hernia de Morgagni bilateral, reparación asistida por laparoscopía. Rev Cir. 2020 [acceso: 12/01/2022];72(2):99-100. Disponible en: https://www.revistacirugia.cl/index.php/revistacirugia/article/view/67510.

  11. Arevalo G, Harris K, Sadiq A. Repair of Morgagni hernia in adults with primary closure and mesh placement: first robotic experience. J Laparoendosc. Adv Surg Tech. 2017;27(5):529-32. DOI: https://doi.org/10.1089/lap.2016.036011.




2020     |     www.medigraphic.com