Adult morgagni hernia: a single center experience of 5 cases and review of literature
Cihan Ağalar1, Koray Atila1, Naciye Çiğdem Arslan2, Zekai Serhan Derici1, Seymen Bora1
1Department of General Surgery, Dokuz Eylul University School of Medicine, İzmir, Turkey
2Department of General Surgery, Istinye University School of Medicine, Istanbul, Turkey
Morgagni hernia is a rare congenital anomaly arising through the fusion defect between the septum transversum and sternum. Diagnosis is usually confusing as the presentation may be asymptomatic as well as with respiratory symptoms, abdominal and/or retrosternal pain, abdominal fullness or gastrointestinal obstruction. In this paper, we discussed the clinical presentation and management of this rare situation with five consecutive cases. Between 2009 and 2015, five cases underwent surgery for Morgagni hernia (3 laparoscopic and 2 open repair); one patient had recurrent hernia after 7 months from laparoscopic surgery. This case is the first recurrence in the literature after laparoscopic repair in an adult group. In Morgagni hernias, the only treatment is surgery, which can be performed by transthoracic, transabdominal, laparoscopic or thoracoscopic approaches. The issues of using mesh and reducing the hernia sac are still controversial.
Keywords: Laparoscopic repair, morgagni hernia, diafragmatic hernia
Cite this article as: Ağalar C, Atila K, Arslan NÇ, Derici ZS, Bora S. Adult morgagni hernia: a single center experience of 5 cases and review of literature. Turk J Surg 2019; 35 (4): 321-324.
Written informed consent was obtained from all the patients who participated in this study.
Concept - C.A., K.A.; Design - C.A., K.A., S.B.; Supervision - C.A., Ç.A., Z.S.D.; Resource - C.A., K.A., Z.S.D., S.B.; Materials - C.A., K.A., Ç.A.; Data Collection and/or Processing - C.A., Ç.A., Z.S.D.; Analysis and/or Interpretation - C.A., Ç.A.; Literature Search - C.A., K.A., Ç.A.; Writing Manuscript - C.A., K.A., Ç.A., Z.S.D., S.B.; Critical Reviews - C.A., S.B.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.