Morgagni-Larrey parasternal diaphragmatic hernia masquerading as pleural effusion: an interesting presentation with review of literature

Authors

  • Amit Gupta Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India http://orcid.org/0000-0002-4847-4120
  • Sudhir Kumar Singh Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  • Anshuman Darbari Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  • Durga Sowmya S. Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
  • Rishit Mani Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

DOI:

https://doi.org/10.18203/2349-2902.isj20202870

Keywords:

Congenital diaphragmatic hernia, Pleural effusion, Laparoscopy

Abstract

Congenital diaphragmatic hernia (CDH) is a major malformation found in newborns and babies but rarely in adults. CDH is defined by the presence of a defect in the diaphragm, which permits the herniation of abdominal contents into the thorax. The diagnosis of CDH is based on clinical history, examinations and is confirmed by plain X-ray films and computed tomography scans. Here we report a case which was misdiagnosed at another centre as pleural effusion and managed by placement of intercostal tube drainage and later on diagnosed to be case of Morgnani-Larrey parasternal diaphragmatic hernia. Congenital diaphragmatic hernia (CDH) is a major malformation found in newborns and babies but rarely in adults. CDH is defined by the presence of a defect in the diaphragm, which permits the herniation of abdominal contents into the thorax. The diagnosis of CDH is based on clinical history, examinations and is confirmed by plain X-ray films and computed tomography scans. The purpose of reporting this case is to provide information on late-presenting CDH and to emphasize that a high index of suspicion is required for diagnosis and to avoid unwanted complications.

Author Biographies

Amit Gupta, Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Additional Professor

Department of Surgery

AIIMS Rishikesh

Sudhir Kumar Singh, Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Assistant Professor, Department of Surgery

 All India Institute Of Medical Sciences, Rishikesh

Anshuman Darbari, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Associate Professor, Department of Cardiothoracic and Vascular Surgery, All India Institute Of Medical Sciences, Rishikesh

Durga Sowmya S., Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Junior Resident, Department of Surgery, All India Institute Of Medical Sciences, Rishikesh

Rishit Mani, Department of Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Junior Resident, Department of Surgery, All India Institute Of Medical Sciences, Rishikesh

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Published

2020-06-25

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Section

Case Reports