Adult morgagni hernia: A single-center experience of five cases and a review of literature
Cihan Ağalar1
, Koray Atila1, Naciye Çiğdem Arslan2, Zekai Serhan Derici1, Seymen Bora1
1Department of General Surgery, Dokuz Eylül University School of Medicine, İzmir, Turkey
2Department of General Surgery, İstinye University School of Medicine, İstanbul, Turkey
Abstract
Morgagni hernia is a rare congenital anomaly arising from the fusion defect between the septum transversum and sternum. The diagnosis is usually difficult since the presentation may be asymptomatic or with respiratory symptoms, abdominal and/or retrosternal pain, abdominal fullness, or gastrointestinal obstruction. In this report, we discuss the clinical presentation and management of this rare condition in five consecutive cases. Between 2009 and 2015, five cases underwent surgery for Morgagni hernia (three laparoscopic and two open repair surgeries); one patient developed recurrent hernia 7 months after the laparoscopic surgery. This case is the first reported recurrence in literature following laparoscopic repair in adults. Surgery is the only treatment option for Morgagni hernias, which can be performed through transthoracic, transabdominal, laparoscopic, or thoracoscopic approach. The issues of using mesh and reducing the hernial sac remain controversial.
Keywords: Diaphragmatic hernia, laparoscopic repai, morgagni hernia
Cite this paper as: Ağalar C, Atila K, Arslan NÇ, Derici ZS, Bora S. Adult morgagni hernia: A single-center experience of five cases and a review of literature. Turk J Surg 2018; 10.5152/turkjsurg.2018.3929.
This study was presented at the ‘’19th National Surgery Congress’’, ‘’16-20 April 2014’’, ‘’Antalya, Turkey’’.
Written informed consent was obtained from patients who participated in this study.
Externally peer-reviewed.
Concept - C.A., K.A.; Design - C.A., K.A. S.B.; Supervision - C.A., K.A. N.Ç.A., Z.S.D., S.B.; Resource - C.A., K.A., S.B.; Materials C.A., K.A., Z.S.D., S.B.; Data Collection and/or Processing - C.A., N.Ç.A., Z.S.D.; Analysis and/or Interpretation - C.A., K.A. N.Ç.A., Z.S.D., S.B.; Literature Search - C.A., K.A. N.Ç.A.; Writing Manuscript - C.A., K.A., N.Ç.A., Z.S.D., S.B.; Critical Reviews - K.A., S.B .
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.