Search

Morgagni hernias form through a defect in the anterior part of the diaphragm. They are a rare form of diaphragmatic hernia. We present the case of a 57-year-old female presenting with intermittent epigastric pain and vomiting. She was previously fit and well. Examination was unremarkable. Blood tests were within normal limits. Chest radiograph revealed a slightly elevated right hemidiaphragm. Barium meal was reported as normal. Ultrasound scanning of her abdomen revealed gallstones. MRCP confirmed a normal biliary duct system. The impression from clinical history and imaging was that her symptoms were due to gallstones. She proceeded to an elective laparoscopic cholecystectomy. At surgery an incidental 10x8cm Morgagni hernia containing a significant portion of the transverse colon was identified. The hernia was reduced easily, and the defect was repaired using a 20x15cm mesh (Parietex[TM]) fixed with staples (Protac[R]). This was followed by a routine cholecystectomy. Postoperatively, she made an uneventful recovery and was discharged the following day. Keywords: Incidental | anterior | diaphragmatic | hernia | laparoscopic, Introduction At laparoscopic cholecystectomy we diagnosed a Morgagni hernia which was repaired laparoscopically with mesh during the same operation. This is the first case of incidental finding and laparoscopic mesh [...]

Perineal injuries may occur in association with penetrating and blunt pelvic injuries. Life-threatening injuries should be addressed first, including laparotomy for hemorrhagic solid organ injuries, major arterial injuries and hollow viscus injuries. We report the case of a young male patient who suffered from a penetrating perineal trauma with rectal, gastric and diaphragmatic injuries. Keywords: perineal trauma | rectum wound | trauma, Background Perineal traumas are seen rarely in emergency conditions and can be blunt or penetrating. We report the case of a young male patient who suffered from a penetrating perineal [...]

Congenital diaphragmatic hernias are rare and are usually asymptomatic. Diagnosis requires a high index of suspicion and most cases are detected incidentally. We describe a rare case of large bowel incarceration with associated obstruction within a Morgagni hernia. Keywords: Morgagni hernia | congenital | intestinal obstruction | incidental, Introduction Morgagni hernia is the rarest of the four types of congenital diaphragmatic hernia with an incidence of 3-5% (1,2). In most cases it is detected in adulthood as an [...]

In modern surgical practice, diaphragmatic injury is seen with increasing frequency, but prompt recognition of diaphragmatic rupture resulting from blunt trauma can still pose a significant diagnostic challenge. We encountered an interesting case, where a traumatic diaphragmatic hernia could only be diagnosed after 20 years of the initial chest trauma and that too because of associated peptic ulcer perforation in the chest. CT scan revealed abdominal contents in the chest and associated peptic perforation was diagnosed on the operating table. He was successfully managed by exploratory laparotomy, closure of perforation and diaphragm repair with a prolene mesh. Keywords: Diaphragmatic hernia | Traumatic diaphragmatic rupture (TDR) | Delayed presentation, Introduction Herniation of abdominal viscera into the thoracic cavity is known as diaphragmatic hernia and it can develop after blunt/penetrating trauma, or due to a congenital defect in the diaphragm. [...]

This report describes the delayed presentation of a gastro-pleural fistula due to a strangulated diaphragmatic hernia after penetrating thoraco-abdominal trauma. It highlights the difficulties faced in the diagnosis of acute diaphragmatic injuries and the potential significant consequences of such missed injuries. The need for a high index of clinical suspicion and appropriate evaluation of thoraco-abdominal penetrating wounds is paramount. The ideal investigatory tool continues to be evaluated, with direct visualization of the diaphragm garnering most support. Keywords: Diaphragmatic | hernia | gastro-pleural | fistula, Introduction Traumatic diaphragmatic herniation is a well-recognized complication of penetrating and blunt thoracoabdominal injury. When the initial diaphragmatic injury goes undetected, there is a delayed clinical presentation with chronic visceral [...]

Bochdalek's hernia, a congenital posterolateral hernia of the diaphragm, usually manifests in the neonatal period and occasionally in childhood. Symptomatic Bochdalek's hernias are uncommon in adults. Patients are initially investigated and treated for other diseases, therefore diagnosis is purely incidental. We present 4 cases of Bochdalek's hernias that presented in our hospital in between 2001 and 2006. All patients were initially managed for other conditions and discovery of the hernias was incidental. In this article we aim to highlight the diagnosis and successful management of these 4 cases. Keywords: Bochdalek's hernia | congenital diaphragmatic hernia | postprandial dyspneoa | gastric volvulus | abdominal compartment syndrome, Introduction Bochdalek's hernia or congenital posterolateral hernia of the diaphragm is a neonatal emergency seen in 1 in 2200 births. Its presentation is very rare in adults. The incidence of [...]

Table of Contents Abstract Introduction Case report Discussion References Abstract We report a rare case of a preterm infant with congenital diaphragmatic hernia (CDH) and herniation of the spleen and [...]

Table of Contents Abstract Case Report Discussion References Abstract Adult foramen of Bochdalek hernia complicating pregnancy is a very rare occurrence with only 35 cases (including this one) reported in [...]

Table of Contents Abstract Case Report Case Discussion References Abstract Traumatic diaphragmatic hernia occurs in ~5% of trauma patients with approximately 75% of ruptures occurring on the left side (1). [...]

Byline: C. Dane, B. Dane, M. Yayla, A. Cetin Sir, In 1958, Cantrell described a syndrome in which a ventral diaphragmatic hernia occurred in association with omphalocele.[1] This rare syndrome [...]

Abstract Diaphragmatic weakness is reported as a common feature of the shrinking lung syndrome of systemic lupus erythematosus (SLE). However, in chronic stable SLE it has been shown that, despite [...]