Skip to main content
Top
Published in: Hernia 2/2008

01-04-2008 | Case Report

Gastric outlet obstruction secondary to Morgagni hernia: a case report

Authors: P. K. Pallati, V. Puri, S. K. Mittal

Published in: Hernia | Issue 2/2008

Login to get access

Abstract

An 89-year old female presented to us with symptoms of gastric outlet obstruction which appeared to be secondary to gastric volvulus on preoperative work-up. On laparoscopy the stomach was found to be incarcerated in a right-sided Morgagni hernia with surrounding adhesions. The hernia was reduced after dissecting the adhesions and the diaphragmatic defect was repaired using a biologic mesh onlay patch (Surgisis® GOLD™, Cook Biotech Inc.). Her postoperative recovery was uneventful and she was doing well at three months follow-up.
Literature
1.
go back to reference Morgagni G (1769) Seats and causes of diseases. Millar and Cadell, London, pp 205 Morgagni G (1769) Seats and causes of diseases. Millar and Cadell, London, pp 205
2.
go back to reference Minneci PC, Deans KJ, Kim P, Mathisen DJ (2004) Foramen of Morgagni hernia: changes in diagnosis and treatment. Ann Thorac Surg 77:1956–1959PubMedCrossRef Minneci PC, Deans KJ, Kim P, Mathisen DJ (2004) Foramen of Morgagni hernia: changes in diagnosis and treatment. Ann Thorac Surg 77:1956–1959PubMedCrossRef
3.
go back to reference Pokorny WJ, McGill CW, Harberg FJ (1984) Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg 19:394–397PubMedCrossRef Pokorny WJ, McGill CW, Harberg FJ (1984) Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg 19:394–397PubMedCrossRef
4.
go back to reference Comer TP, Clagett OT (1966) Surgical treatment of hernia of the foramen of Morgagni. J Thorac Cardiovasc Surg 52:461–468PubMed Comer TP, Clagett OT (1966) Surgical treatment of hernia of the foramen of Morgagni. J Thorac Cardiovasc Surg 52:461–468PubMed
5.
go back to reference Xie M, Stockwell D, Carr-Locke DL (2005) Gastroduodenal obstruction from Morgagni hernia in an elderly patient. MedGenMed 7:70PubMed Xie M, Stockwell D, Carr-Locke DL (2005) Gastroduodenal obstruction from Morgagni hernia in an elderly patient. MedGenMed 7:70PubMed
6.
go back to reference Jani PG (2001) Morgagni hernia: case report. East Afr Med J 78:559–560PubMed Jani PG (2001) Morgagni hernia: case report. East Afr Med J 78:559–560PubMed
7.
go back to reference Lev-Chelouche D, Ravid A, Michowitz M, Klausner JM, Kluger Y (1999) Morgagni hernia: unique presentations in elderly patients. J Clin Gastroenterol 28:81–82PubMedCrossRef Lev-Chelouche D, Ravid A, Michowitz M, Klausner JM, Kluger Y (1999) Morgagni hernia: unique presentations in elderly patients. J Clin Gastroenterol 28:81–82PubMedCrossRef
8.
go back to reference Bhasin DK, Nagi B, Gupta NM, Singh K (1989) Chronic intermittent gastric volvulus within the foramen of Morgagni. Am J Gastroenterol 84:1106–1108PubMed Bhasin DK, Nagi B, Gupta NM, Singh K (1989) Chronic intermittent gastric volvulus within the foramen of Morgagni. Am J Gastroenterol 84:1106–1108PubMed
9.
go back to reference Moghissi K (1981) Operation for repair of obstructed substernocostal (Morgagni) hernia. Thorax 36:392–394PubMedCrossRef Moghissi K (1981) Operation for repair of obstructed substernocostal (Morgagni) hernia. Thorax 36:392–394PubMedCrossRef
10.
go back to reference Ponsky TA, Lukish JR, Nobuhara K, Powell D, Newman KD (2002) Laparoscopy is useful in the diagnosis and management of foramen of Morgagni hernia in children. Surg Laparosc Endosc Percutan Technol 12:375–377CrossRef Ponsky TA, Lukish JR, Nobuhara K, Powell D, Newman KD (2002) Laparoscopy is useful in the diagnosis and management of foramen of Morgagni hernia in children. Surg Laparosc Endosc Percutan Technol 12:375–377CrossRef
11.
go back to reference Kuster GG, Kline LE, Garzo G (1992) Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg 2:93–100PubMed Kuster GG, Kline LE, Garzo G (1992) Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg 2:93–100PubMed
12.
go back to reference Fernandez-Cebrian JM, De Oteyza JP (1996) Laparoscopic repair of hernia of foramen of Morgagni: a new case report. J Laparoendosc Surg 6:61–64PubMed Fernandez-Cebrian JM, De Oteyza JP (1996) Laparoscopic repair of hernia of foramen of Morgagni: a new case report. J Laparoendosc Surg 6:61–64PubMed
13.
go back to reference Loong TP, Kocher HM (2005) Clinical presentation and operative repair of hernia of Morgagni. Postgrad Med J 81:41–44PubMedCrossRef Loong TP, Kocher HM (2005) Clinical presentation and operative repair of hernia of Morgagni. Postgrad Med J 81:41–44PubMedCrossRef
14.
go back to reference Orita M, Okino M, Yamashita K, Morita N, Esato K (1997) Laparoscopic repair of a diaphragmatic hernia through the foramen of morgagni. Surg Endosc 11:668–670PubMedCrossRef Orita M, Okino M, Yamashita K, Morita N, Esato K (1997) Laparoscopic repair of a diaphragmatic hernia through the foramen of morgagni. Surg Endosc 11:668–670PubMedCrossRef
15.
go back to reference Contini S, Dalla Valle R, Bonati L, Zinicola R (1999) Laparoscopic repair of a Morgagni hernia: report of a case and review of the literature. J Laparoendosc Adv Surg Tech A 9:93–99PubMed Contini S, Dalla Valle R, Bonati L, Zinicola R (1999) Laparoscopic repair of a Morgagni hernia: report of a case and review of the literature. J Laparoendosc Adv Surg Tech A 9:93–99PubMed
16.
go back to reference Percivale A, Stella M, Durante V, Dogliotti L, Serafini G, Saccomani G, Pellicci R (2005) Laparoscopic treatment of Morgagni–Larrey hernia: technical details and report of a series. J Laparoendosc Adv Surg Tech A 15:303–307PubMedCrossRef Percivale A, Stella M, Durante V, Dogliotti L, Serafini G, Saccomani G, Pellicci R (2005) Laparoscopic treatment of Morgagni–Larrey hernia: technical details and report of a series. J Laparoendosc Adv Surg Tech A 15:303–307PubMedCrossRef
Metadata
Title
Gastric outlet obstruction secondary to Morgagni hernia: a case report
Authors
P. K. Pallati
V. Puri
S. K. Mittal
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
Hernia / Issue 2/2008
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-007-0287-3

Other articles of this Issue 2/2008

Hernia 2/2008 Go to the issue