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Updated: Jul 11, 2026

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
Associated malformations in Morgagni hernia
Murat Kemal Cigdem1, Abdurrahman Onen, Hanifi Okur
1Department of Pediatric Surgery, Dicle University Medical Faculty, 21280 Diyarbakir, Turkey. mkcigdem@hotmail.com
Abstract:
Morgagni hernia (MH) is a congenital herniation of the abdominal organs through the subcostosternal portion of the diaphragm. It is a rare type of diaphragmatic hernia that has been associated with other congenital anomalies. The purpose of this clinical review was to determine the incidence of associated anomalies in patients with MH at a major pediatric referral center. The medical records of all patients with the diagnosis of MH were reviewed retrospectively between 1983 and 2006. The age, sex, side of herniation, presenting symptoms and signs, associated anomalies, radiologic features, intraoperative findings, postoperative course, complications, and mortality were recorded. There were 11 males and 5 females. The average age of the patients was 34.5 months (range 2 months-14 years). Twelve patients (75%) had at least one associated congenital malformation and eight (66.6%) of them had multiple anomalies. Six (37.5%) patients had a chromosomal anomaly, Down's syndrome in five and Turner syndrome in one. MH has a high incidence of associated congenital malformations.
Insights
Morgagni hernia (MH), a rare diaphragmatic defect, frequently co-occurs with other congenital anomalies, particularly chromosomal abnormalities like Down syndrome. This highlights the importance of comprehensive evaluation in affected pediatric patients.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Diaphragmatic Hernias
Background:
- Morgagni hernia (MH) is a rare congenital diaphragmatic defect involving abdominal organs herniating through the subcostosternal diaphragm.
- MH is often associated with other congenital anomalies, necessitating thorough investigation.
Purpose of the Study:
- To determine the incidence of associated anomalies in pediatric patients diagnosed with Morgagni hernia.
- To analyze the types and frequency of congenital malformations linked to MH.
Main Methods:
- Retrospective review of medical records for patients diagnosed with MH between 1983 and 2006.
- Data collection included patient demographics, herniation details, symptoms, associated anomalies, and clinical outcomes.
Main Results:
- Out of 16 patients (11 male, 5 female), 75% (12 patients) had at least one associated congenital malformation.
- 66.6% (8 patients) presented with multiple anomalies.
- Chromosomal anomalies were present in 37.5% (6 patients), including Down syndrome (5) and Turner syndrome (1).
Conclusions:
- Morgagni hernia exhibits a high incidence of associated congenital malformations.
- Comprehensive screening for anomalies, especially chromosomal abnormalities, is crucial in pediatric MH cases.
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