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Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Morgagni's diaphragmatic hernia mimicking a severe congenital heart disease in a newborn: a case report

Authors: Pier Paolo Bassareo, Paola Neroni, Sabrina Montis, Roberto Tumbarello

Published in: Journal of Medical Case Reports | Issue 1/2010

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Abstract

Introduction

Morgagni's congenital diaphragmatic defect is a rare malformation, the diagnosis of which, as in our case report, may be problematic. To the best of our knowledge, this is the first report of this kind of hernia presenting with signs and symptoms of severe cardiac malformation.

Case presentation

We report the case of a three-month-old Caucasian baby boy, who presented with heart failure and severe pulmonary hypertension. Compression of the heart by a bowel loop in the chest led to an incorrect diagnosis of congenital heart disease.

Conclusions

Even in this era of highly sophisticated diagnostic tools, a simple radiograph can provide sufficient information for a precise, rapid diagnosis.
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Literature
1.
go back to reference Yang W, Carmichael SL, Harris JA, Shaw GM: Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989-1997. Birth Defects Res A Clin Mol Teratol. 2006, 76: 170-174. 10.1002/bdra.20230.CrossRefPubMed Yang W, Carmichael SL, Harris JA, Shaw GM: Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989-1997. Birth Defects Res A Clin Mol Teratol. 2006, 76: 170-174. 10.1002/bdra.20230.CrossRefPubMed
2.
go back to reference Torfs CP, Curry CJ, Bateson TF, Honoré LH: A population-based study of congenital diaphragmatic hernia. Teratology. 1992, 46: 555-565. 10.1002/tera.1420460605.CrossRefPubMed Torfs CP, Curry CJ, Bateson TF, Honoré LH: A population-based study of congenital diaphragmatic hernia. Teratology. 1992, 46: 555-565. 10.1002/tera.1420460605.CrossRefPubMed
3.
go back to reference Sahnoun L, Ksia A: Morgagni hernia in infancy: report of 7 cases. Arch Pediatr. 2006, 13: 1316-1319. 10.1016/j.arcped.2006.06.027.CrossRefPubMed Sahnoun L, Ksia A: Morgagni hernia in infancy: report of 7 cases. Arch Pediatr. 2006, 13: 1316-1319. 10.1016/j.arcped.2006.06.027.CrossRefPubMed
4.
go back to reference Latif Al-Arfagj A: Morgagni's hernia in infants and children. Eur J Surg. 1998, 164: 275-279. 10.1080/110241598750004508.CrossRef Latif Al-Arfagj A: Morgagni's hernia in infants and children. Eur J Surg. 1998, 164: 275-279. 10.1080/110241598750004508.CrossRef
5.
go back to reference Berman L, Stringer D, Ein SH, Shandling B: The late-presenting pediatric Morgagni hernia: a benign condition. J Pediatr Surg. 1989, 24: 97-972. 10.1016/S0022-3468(89)80193-9.CrossRef Berman L, Stringer D, Ein SH, Shandling B: The late-presenting pediatric Morgagni hernia: a benign condition. J Pediatr Surg. 1989, 24: 97-972. 10.1016/S0022-3468(89)80193-9.CrossRef
6.
go back to reference Lin AE, Pober BR, Adatia I: Congenital diaphragmatic hernia and associated cardiovascular malformations: type, frequency, and impact on management. Am J Med Genet C Semin Med Genet. 2007, 145 C: 201-216.CrossRef Lin AE, Pober BR, Adatia I: Congenital diaphragmatic hernia and associated cardiovascular malformations: type, frequency, and impact on management. Am J Med Genet C Semin Med Genet. 2007, 145 C: 201-216.CrossRef
7.
go back to reference Smith J, Ghani A: Morgagni hernia: incidental repair during laparoscopic cholecystectomy. J Laparoendosc Surg. 1995, 5: 123-125.CrossRefPubMed Smith J, Ghani A: Morgagni hernia: incidental repair during laparoscopic cholecystectomy. J Laparoendosc Surg. 1995, 5: 123-125.CrossRefPubMed
8.
go back to reference Eren S, Ciris F: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 2005, 54: 448-459. 10.1016/j.ejrad.2004.09.008.CrossRefPubMed Eren S, Ciris F: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 2005, 54: 448-459. 10.1016/j.ejrad.2004.09.008.CrossRefPubMed
9.
go back to reference Akè E, Fouron JC, Lessard M, Boisvert J, Grignon A, van Doesburgh NH: In utero sonographic diagnosis of diaphragmatic hernia with hepatic protrusion into the pericardium mimicking an intrapericardial tumour. Prenat Diagn. 1991, 11: 719-724.CrossRefPubMed Akè E, Fouron JC, Lessard M, Boisvert J, Grignon A, van Doesburgh NH: In utero sonographic diagnosis of diaphragmatic hernia with hepatic protrusion into the pericardium mimicking an intrapericardial tumour. Prenat Diagn. 1991, 11: 719-724.CrossRefPubMed
10.
go back to reference Tynan M: Clinical presentation of heart disease in infants and children. Paediatric Cardiology. Edited by: Anderson RH, Baker EJ, Macartney FJ, Rigby ML, Shinebourne EA, Tynan M. 2002, London: Churchill Livingstone, 1: 273-283. 2 Tynan M: Clinical presentation of heart disease in infants and children. Paediatric Cardiology. Edited by: Anderson RH, Baker EJ, Macartney FJ, Rigby ML, Shinebourne EA, Tynan M. 2002, London: Churchill Livingstone, 1: 273-283. 2
Metadata
Title
Morgagni's diaphragmatic hernia mimicking a severe congenital heart disease in a newborn: a case report
Authors
Pier Paolo Bassareo
Paola Neroni
Sabrina Montis
Roberto Tumbarello
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-395

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