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Morgagni-hernias during infancy
1Department of Pediatric Surgery, University Clinic Children's Hospital, Teheran, Iran.
Insights
Morgagni hernia, a rare congenital diaphragmatic defect, was observed in five infants, with most presenting respiratory issues. Surgical repair via transabdominal or transthoracic approaches yielded satisfactory outcomes for all pediatric patients.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Gastrointestinal Surgery
Background:
- Morgagni hernia is a rare congenital diaphragmatic defect.
- It often presents in infancy with respiratory symptoms.
- Associated malformations can occur.
Purpose of the Study:
- To report five cases of Morgagni hernia in infants.
- To describe clinical presentation, surgical approaches, and outcomes.
Main Methods:
- Retrospective review of five pediatric cases of Morgagni hernia.
- Surgical intervention utilizing transthoracic or transabdominal approaches.
- Analysis of hernia contents and patient outcomes.
Main Results:
- Four cases diagnosed in infants under seven months.
- All patients exhibited respiratory symptoms; two had associated malformations.
- Hernia contents included colon, small bowel, liver, omentum, and stomach.
- Transthoracic approach used for solid contents or difficult differentiation; transabdominal preferred otherwise.
- Satisfactory surgical results achieved in all patients.
Conclusions:
- Morgagni hernia requires prompt diagnosis and surgical management in infants.
- Both transthoracic and transabdominal approaches are effective.
- Early surgical intervention leads to favorable outcomes in pediatric cases.
Abstract:
Five cases of Morgagni hernia observed in Teheran Children's Hospital in 1973-1983 are reported. Four of the diagnosed cases were infants less than seven months of age and all presented respiratory symptoms: two of them accompanied by associated malformations. In four cases the hernia was present on the right side and in one on the left. The most common contents of the hernial sac were colon, small-bowel, liver, omentum and stomach. A transthoracic approach was advocated only in cases with solid content in the hernial sac or when differentiation from a solid mass was difficult. For the other cases the transabdominal approach was preferred. The operation chosen of treatment, gave satisfactory results in all the patients.