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Morgagni Hernia

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

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Morgagni Hernia

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

  2. 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

  3. Fever workup began in clinic • Blood Cx, Urine Cx, LP performed • PA and Lateral CXR were performed

  4. Follow CT scan performed 2/10

  5. All cultures negative x 48 hrs • Patient d/c’d 2/11 on 5 day course Keflex • Pt to follow up with pediatric surgeon for evaluation of Morgagni Hernia

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

  7. Most common symptoms are dyspnea and chest pain • Complication is strangulation of gastrointestinal organs • Diagnosis made radiographically – CT is best imaging method

  8. 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.

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