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Obstructed Morgagni's hernia
A N Gangopadhyay1, Vijai D Upadhyaya, D K Gupta
1Department of Pediatric Surgery IMS, BHU, Varanasi, India.
Abstract:
Morgagni's Hernia is the direct herniation of the intra-abdominal organs through the anterior retrocostoxiphoid diaphragmatic defect. We are presenting a case of obstructed Morgagni's hernia in a five-year-old child. Who presented with colicky abdominal pain, distention of upper abdomen, vomiting with constipation of three days duration.. Morgagni hernia is a rare disease even rarer in pediatric age group, and is usually diagnosed incidentally; presentation of this disease with obstruction had been reported in adult but not in children.
Insights
This study reports a rare case of obstructed Morgagni
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Morgagni's hernia involves intra-abdominal organs herniating through a diaphragmatic defect.
- It is rare, particularly in children, and often diagnosed incidentally.
Observation:
- A five-year-old child presented with severe abdominal pain, distention, vomiting, and constipation.
- These symptoms indicated an obstructed Morgagni's hernia.
Findings:
- This case represents the first reported instance of an obstructed Morgagni's hernia in a pediatric patient.
- Obstruction in Morgagni's hernia has been documented in adults but not previously in children.
Implications:
- Highlights the need for considering Morgagni's hernia in pediatric differential diagnoses for abdominal obstruction.
- Suggests that pediatric patients can present with Morgagni's hernia obstruction, contrary to previous reports.
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