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[Morgagni-Larrey diaphragmatic hernia. Personal case series]

G Arzillo1, D Aiello, G Priano

  • 1I Divisione di Chirurgia Generale, Ospedale San Paolo, Savona.

Minerva Chirurgica
|November 1, 1994
PubMed
Summary

Morgagni-Larrey hernia is a rare congenital diaphragmatic anomaly, often asymptomatic in childhood. Diagnosis is typically radiological, revealing herniated abdominal organs within a peritoneal sac.

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Area of Science:

  • Anatomy
  • Embryology
  • Radiology

Background:

  • Morgagni-Larrey hernia, a rare congenital diaphragmatic anomaly, is historically documented by Morgagni (1761) and Larrey (1829).
  • This anterior diaphragmatic hernia is characterized by a peritoneal sac, differentiating it from Bochdalek hernias.
  • It arises from developmental events during the fetal stage of diaphragmatic evolution.

Observation:

  • The hernia involves abdominal viscera passing through an anterior diaphragmatic defect.
  • Commonly contains transverse colon, liver, and omentum; may include small bowel, stomach, pancreas, or gallbladder.
  • Often asymptomatic in early life, presenting in adulthood or old age.

Findings:

  • Diagnosis is primarily radiological, with thoracic radiography being key.

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  • Radiographs can show herniated contents, particularly when air-filled, with potential for dynamic changes over time.

    • Implications:

    • Accurate naming, "anterior diaphragmatic hernia of Morgagni-Larrey," aids precise understanding.
    • Understanding its congenital origin and anatomical features is crucial for diagnosis and management.
    • Radiological findings, especially dynamic changes, are vital for confirming the diagnosis.