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[Morgagni hernia in childhood]
E López Candel1, J Castejón Casado, J López Candel
1Servicio de Cirugía Pediátrica, Hospital General de Especialidades Virgen de las Nieves, Granda.
Insights
This study details six pediatric Morgagni hernia cases, highlighting male predominance and common symptoms like respiratory infections and vomiting. Surgical repair via laparotomy was successful with no recurrences.
Area of Science:
- Pediatric Surgery
- Congenital Abnormalities
- Gastrointestinal Surgery
Abstract:
We report six cases of Morgagni hernia diagnosed and operated on in our pediatric surgical unit during a 14-year period. Four children were younger than 1 year and two between 1 and 2 years. Predominance in males was found. Associated congenital pathology was present in 3 children (Down's syndrome, diaphragmatic relaxation, criptorquidia and pyelo-ureteral stenosis). Predominant clinical features were respiratory infections and vomiting. In only one patient clinical onset was with respiratory distress. Plain chest x-ray was the most used diagnostic procedure. In all cases barium enema was performed to confirm the clinical diagnosis. Most frequent surgical approach was a midline supra-umbilical laparotomy. Diaphragmatic defect was left sided in 3 children and right-sided in the other 3. Transverse colon and liver were the most frequent herniated viscera. Postoperative follow-up showed no complications or recidives.