A 77 year old woman who presented with an incarcerated hernia of Morgagni was successfully treated without complications. A Medline search (1996 to date) along with cross referencing was done to quantify the number of acute presentations in adults compared to children. Different investigating modalities-for example, lateral chest and abdominal radiography, contrast studies or, in difficult cases, computed tomography or magnetic resonance imaging-can be used to diagnose hernia of Morgagni. The favoured method of repair-laparotomy or laparoscopy-is also discussed. A total of 47 case reports on children and 93 case reports on adults were found. Fourteen percent of children (seven out of 47) presented acutely compared with 12% of adults (12 out of 93). Repair at laparotomy was the method of choice but if uncertain, laparoscopy would be a useful diagnostic tool before attempted repair. Laparoscopic repair was favoured in adults especially in non-acute cases.
CITATION STYLE
Loong, T. P. F., & Kocher, H. M. (2005, January). Clinical presentation and operative repair of hernia of Morgagni. Postgraduate Medical Journal. https://doi.org/10.1136/pgmj.2004.022996
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