Unusual associations of bilateral Morgagni hernia in a child with Down’s syndrome: a case report

Authors

  • Nabil Ahmed Shayba Department of Paediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia
  • Izzat Malkani Department of Paediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia
  • Mishraz Shaikh Department of Paediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia
  • Kamal Mostafa Alshamiri Department of Paediatric Surgery, King Saud Medical City, Riyadh, Kingdom of Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20243250

Keywords:

Morgagni hernia, Down’s syndrome, Diaphragmatic hernia

Abstract

Morgagni hernia is a rare form of congenital diaphragmatic hernia. It is associated with Down’s syndrome as well as other congenital anomalies. Pediatric patients usually present with respiratory manifestations, the clinical presentation of Morgagni hernia is non-specific. Therefore, Morgagni hernia is mainly diagnosed by radiological imaging. The rarity of this type of hernia along with the vague clinical presentation can lead to missed diagnosis.

References

Torfs CP, Curry CJR, Bateson TF, Honore LH. A population-based study of congenital diaphragmatic hernia. Teratology. 1992;46(6):555-65.

Sandstrom CK, Stern EJ. Diaphragmatic hernias: a spectrum of radiographic appearances. Curr Prob Diagnost Radiol. 2011;40(3):95-115.

Al-Salem AH, Zamakhshary M, Mohaidly MA, Al-Qahtani A, Abdulla MR, Naga MI. Congenital Morgagni's hernia: a national multicenter study. J Pediat Surg. 2014;49(4):503-7.

Escarcega P, Riquelme MA, Lopez S, González AD, Leon VY, Garcia LR, et al. Elizondo Multi-institution case series of pediatric patients with laparoscopic repair of Morgagni hernia. J Laparoendosc Adv Surg Tech. 2018;28(8).

Golden J, Barry WE, Jang G, Nguyen N, Bliss D. Pediatric Morgagni diaphragmatic hernia: a descriptive study. Pediatr Surg Int. 2017;33.

Bawazir OA, Mahomed A, Fayyad A. Laparoscopic-assisted repair of Morgagni hernia in children. J Pediatr Surg. 2009;44(8):1621-4.

Lim L, Gilyard SM, Sydorak RM, Lau ST, Yoo EY, Shaul DB. Minimally invasive repair of pediatric Morgagni hernias using transfascial sutures with extracorporeal knot tying. 2019:23:18.

Hosgor M, Karaca I, Karkiner A, Ucan B, Temir G, Erdag G, et al. Associated malformations in delayed presentation of congenital diaphragmatic hernia. J Pediatr Surg. 2004;39(7):1073-6.

Basani L, Aepala R, Reddy BM. Congenital diaphragmatic hernia, Meckels diverticulum and malrotation in a 3-month-old infant. Afr J Paeditr Surg. 2016;13(1):47-9.

Anadolulu AI, Gerçel G, Kocaman OH. Laparoscopic repair of Morgagni hernia in children. Ann Med Surg (Lond). 2020:56:7-10.

LamasPinheiro R, Pereira J, Carvalho F, Horta P, Ochoa A, Knoblich M, et al. Minimally invasive repair of Morgagni hernia-a multicenter case series. Rev Port Pneumol. 2006;22(5):273-8.

Pokorny WJ, McGill CW, Harberg FJ. Morgagni hernias during infancy: presentation and associated anomalies. J Pediatr Surg. 1984;19(4):394-7.

Honoré LH, Torfs CP, Curry CJ. Possible association between the hernia of Morgagni and trisomy 21. Am J Med Genet. 1993;47(2):255-6.

Castle SL, Naik-Mathuria BJ, Torres MB. Right-sided congenital diaphragmatic hernia, hepatic pulmonary fusion, duodenal atresia, and imperforate anus in an infant. J Pediatr Surg. 2011;46(7):1432-4.

Ananthasivan R, Rawat S, Pooja GPR. Duodenal stenosis with diaphragmatic hernia-a rare combination-delayed diagnoses with barium study. J Gastroint Abdom Radiol.2019;2:69-73.

Al-Salem AH. Congenital hernia of Morgagni in infants and children. J Pediatr Surg. 2007;42:1539-43.

Downloads

Published

2024-10-28

Issue

Section

Case Reports