Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Surgery
Published in: BMC Surgery 1/2015

Open Access 01-12-2015 | Case report

Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia

Authors: Anna Bettini, Jesus G Ulloa, Hobart Harris

Published in: BMC Surgery | Issue 1/2015

Login to get access

Abstract

Background

Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.

Case presentation

Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.

Conclusion

This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
Literature
1.
Lund RR, Crisler EC, Sammons BP, Gartenlaub C: Simultaneous occurrence of subcostosternal (Morgagni) hernia and hiatus hernia: report of a case.Radiology 1958, 4:561–3.CrossRef
2.
Szentkereszty Z, Csáky G, Boland MG, Weisz R, Sasi-Szabo L, Gamal EM, et al.: Laparoscopic treatment of simultaneously occurring Morgagni and paraesophageal hernias.J Laparoendosc AdvSurg Tech A 2006, 6:626–8.CrossRef
3.
Eroğlu A, Kürkçüoğlu IC, Karaoğlanoğlu N, Yilmaz O: Combination of paraesophageal hernia and Morgagni hernia in an old patient.Dis Esophagus 2003, 2:151–3.
4.
Ngaage DL, Young RA, Cowen ME: An unusual combination of diaphragmatic hernias in a patient presenting with the clinical features of restrictive pulmonary disease: report of a case.Surg Today 2001, 12:1079–81.CrossRef
5.
Cokmez A, Durak E: Laparoscopic repair of Morgagni hernia and paraesophageal hernia on the same patient.Surg Endosc 2003, 4:660.
6.
Durak E, Gur S, Cokmez A, Atahan K, Zahtz E, Tarcan E: Laparoscopic repair of Morgagni hernia.Hernia 2007, 3:265–70.CrossRef
7.
Horton JD, Hofmann L, Hetz SP: Presentation and management of Morgagni hernias in adults: a review of 298 cases.Surg Endosc 2008, 6:1413–20.CrossRef
8.
Minneci P, Deans K, Kim P, Mathisen DJ: Foramen of Morgagni Hernia: changes in diagnosis and treatment.Ann Thorac Surg 2004, 6:1956–9.CrossRef
9.
Eren S, Gümüş H, Okur A: A rare cause of intestinal obstruction in the adult: Morgagni’s hernia.Hernia 2003, 2:97–9.CrossRef
10.
Hussong R, Landreneau RJ, Cole FH: Diagnosis and repair of a Morgagni hernia with video-assisted thoracic surgery.Ann Thorac Surg 1997, 5:1474–5.CrossRef
11.
Chen Y, Wykes J, Haveman J, Apostolou C, Merrett ND: Laparoscopic repair of Morgagni hernia: an interesting case and complication.ANZ J Surg 2013, 9:688–9.CrossRef
Metadata
Title
Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia
Authors
Anna Bettini
Jesus G Ulloa
Hobart Harris
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2015
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/1471-2482-15-15

Other articles of this Issue 1/2015

BMC Surgery 1/2015 Go to the issue

Research article

Long-term outcome after bilateral lung transplantation – a retrospective study from a low-volume center experience

Study protocol

Surgical assessment: measuring unobserved health

Research article

Comparative evaluation of sump drainage by trocar puncture, percutaneous catheter drainage versus operative drainage in the treatment of Intra-abdominal abscesses: a retrospective controlled study

Research article

Risk factors and outcomes of postoperative pancreatic fistula after pancreatico-duodenectomy: an audit of 532 consecutive cases

Research article

Duodenal gastrointestinal stromal tumors: clinicopathological characteristics, surgery, and long-term outcome

Research article

Long-term prognosis of surgical treatment for early ampullary cancers and implications for local ampullectomy