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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
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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