Retrospective Evaluation of Patients with Morgagni Hernia 

Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 3

Abstract

Aim: Morgagni hernia develops due to the defect in Larrey’s space. Intestine and ometum passes to thorax and lead to respiratory problems. Herein, we present our patients who had pulmonary symptoms and diagnosed as Morgagni hernia with clinical, radiologic and operative methods. Material and Method: Data of four patients who were diagnosed as Morgagni hernia in our clinic between 2005 and 2011 were evaluated retrospectively. Posteroanterior (PA) chest graphy and thorax computed tomography were performed to all patients as diagnostic tools and thorax magnetic resonance imaging was performed to one patient additionally. Results: All patients were female with mean age of 57 years (range 42-67). Transthoracic route was used in two patients and transabdominal route was used for two patients for surgical access. When hernia sac was opened, presence of intestinal anses and omentum structures and passing to thorax via diaphragmatic defect from the right of sternum were observed. Ischemia and necrosis were not detected. Hernia sacs were not excised. Defect was closed primarily. Mean duration of hospital stay was found as 12 days (range 6-20 days). Recurrence, morbidity and mortality were not seen during average one year follow up. Discussion: Surgery is the treatment of Morgagni hernia. We consider that evaluating the patients diagnosed in adulthood in detail would be beneficial for correct decision for surgical approach and for prevention of vital complications. 

Authors and Affiliations

Erkan Akar

Keywords

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  • EP ID EP114188
  • DOI : 10.4328/JCAM.776
  • Views 131
  • Downloads 0

How To Cite

Erkan Akar (2012). Retrospective Evaluation of Patients with Morgagni Hernia . Journal of Clinical and Analytical Medicine, 3(3), 331-333. https://europub.co.uk./articles/-A-114188