Scribd
Upload
31 views

Morgagni Hernia: Brian Belyea Radiology Elective Block 8 February 27, 2004

A 6 week old male presented to the clinic with a wound infection and fever after bilateral inguinal hernia repair. Cultures and imaging including a CT scan were performed and revealed no infection, with the patient discharged after a course of antibiotics. The patient was referred to a pediatric surgeon for evaluation of an incidentally discovered Morgagni hernia, a rare congenital diaphragmatic defect usually asymptomatic but sometimes causing respiratory or gastrointestinal issues. Treatment is elective surgery to prevent potential complications like strangulation.

Uploaded by

Manisanthosh Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as PPS, PDF, TXT or read online on Scribd
31 views

Morgagni Hernia: Brian Belyea Radiology Elective Block 8 February 27, 2004

A 6 week old male presented to the clinic with a wound infection and fever after bilateral inguinal hernia repair. Cultures and imaging including a CT scan were performed and revealed no infection, with the patient discharged after a course of antibiotics. The patient was referred to a pediatric surgeon for evaluation of an incidentally discovered Morgagni hernia, a rare congenital diaphragmatic defect usually asymptomatic but sometimes causing respiratory or gastrointestinal issues. Treatment is elective surgery to prevent potential complications like strangulation.

Uploaded by

Manisanthosh Kumar
Copyright
© © All Rights Reserved
Available Formats
Download as PPS, PDF, TXT or read online on Scribd
You are on page 1/ 18

Morgagni Hernia

Brian Belyea
Radiology Elective Block 8
February 27, 2004

6 week old male


s/p bilateral inguinal hernia repair 2/6
Discharged from hospital 2/7
Presented to clinic 2/9 with wound
infection and Temp 38.5

Fever workup began in clinic


Blood Cx, Urine Cx, LP performed
PA and Lateral CXR were performed

Follow CT scan performed 2/10

All cultures negative x 48 hrs


Patient d/cd 2/11 on 5 day course Keflex
Pt to follow up with pediatric surgeon for
evaluation of Morgagni Hernia

Morgagni Hernia
Rare congenital disorder (3-4% of CDH)
Usually asymptomatic, may cause
respiratory or gastrointestinal symptoms
30% diagnosed incidentally

Most common symptoms are dyspnea and


chest pain
Complication is strangulation of
gastrointestinal organs
Diagnosis made radiographically CT is
best imaging method

Treatment is elective surgery in order to prevent


possible complications of strangulation
Primary repair is done via abdominal or thoracic
approach

Kurkcuoglu, IC, et al. Diagnosis and Surgical Treatment of Morgagni


Hernia: Report of Three Cases. Surgery Today, 2003. 33:525-528.

You might also like