Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report

Morgagni hernia is a rare congenital diaphragmatic hernia associated with the minor retro-xiphoid region between the sternal and costal attachments. The bilateral and complicated Morgagni hernia occurred exceptionally rarely, at a rate of 4% and 6.5%. An 81-year-old woman with occasional constipatio...

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Main Authors: Minh Thao Nguyen, Anh Vu Pham
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231207210
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author Minh Thao Nguyen
Anh Vu Pham
author_facet Minh Thao Nguyen
Anh Vu Pham
author_sort Minh Thao Nguyen
collection DOAJ
description Morgagni hernia is a rare congenital diaphragmatic hernia associated with the minor retro-xiphoid region between the sternal and costal attachments. The bilateral and complicated Morgagni hernia occurred exceptionally rarely, at a rate of 4% and 6.5%. An 81-year-old woman with occasional constipation went to the emergency department for epigastric pain and vomiting 3 days before. She could no longer pass gas that caused abdominal distention. Clinical examination and ultrasound showed partial bowel obstruction, an unspecified cause. She received nil per os, nasogastric decompression. The abdominal and chest computed tomography Scan showed the bilateral diaphragmatic hernia, and the dilated loops of the cecum and ascending colon were 7 cm. She required an emergency operation to resolve the etiology of bowel obstruction. The midline incision was chosen to release the hernia contents and repair the posterior sternal defects with Polypropylene mesh. An abdominal approach can solve a bilateral incarcerated Morgagni hernia.
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spelling doaj.art-1fea856a09f044828a7d42f8af595f4c2023-10-18T01:33:20ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-10-011110.1177/2050313X231207210Bilateral incarcerated Morgagni hernia with bowel obstruction: A case reportMinh Thao NguyenAnh Vu PhamMorgagni hernia is a rare congenital diaphragmatic hernia associated with the minor retro-xiphoid region between the sternal and costal attachments. The bilateral and complicated Morgagni hernia occurred exceptionally rarely, at a rate of 4% and 6.5%. An 81-year-old woman with occasional constipation went to the emergency department for epigastric pain and vomiting 3 days before. She could no longer pass gas that caused abdominal distention. Clinical examination and ultrasound showed partial bowel obstruction, an unspecified cause. She received nil per os, nasogastric decompression. The abdominal and chest computed tomography Scan showed the bilateral diaphragmatic hernia, and the dilated loops of the cecum and ascending colon were 7 cm. She required an emergency operation to resolve the etiology of bowel obstruction. The midline incision was chosen to release the hernia contents and repair the posterior sternal defects with Polypropylene mesh. An abdominal approach can solve a bilateral incarcerated Morgagni hernia.https://doi.org/10.1177/2050313X231207210
spellingShingle Minh Thao Nguyen
Anh Vu Pham
Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
SAGE Open Medical Case Reports
title Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
title_full Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
title_fullStr Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
title_full_unstemmed Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
title_short Bilateral incarcerated Morgagni hernia with bowel obstruction: A case report
title_sort bilateral incarcerated morgagni hernia with bowel obstruction a case report
url https://doi.org/10.1177/2050313X231207210
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