Year 2018 / Volume 110 / Number 5
Letter to the Editor
Adult-onset Morgagni’s hernia

335

DOI: 10.17235/reed.2018.5425/2017

Eduardo Valdivielso Cortázar, David Carral Martínez, Manuel Gómez Gutiérrez, Alberto Bouzón Alejandro,

Abstract
We report the case of a 65-year-old male patient with Down’s syndrome and a deep venous thrombosis on anticoagulation with acenocoumarol. The case presented due to nonspecific, predominantly postprandial epigastric discomfort, meteorism and aerophagia. A thoracoabdominal computed tomography (CT) scan revealed a Morgagni hernia with a cephalad migration of part of the stomach, ascending colon and transverse colon. After laparotomy, the defect was repaired using a titanium mesh and the patient had a favorable outcome.
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References
1. Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surg Endosc 2008;22:1413-20
2. Eren S, Ciris F. Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol 2005;54:448-59
4. Arevalo G, Harris K, Sadiq A et al. Repair of Morgagni hernia in adults with primary closure and :mesh placement: First robotic experience. J Laparoendosc Adv Surg Tech 2017; 27:529-32.
3. Díaz-Tobarra M, Garcés-Albir M, Marti-Obiol R et al. Morgagni's hernia containing apendicular mucocele. Rev Esp Enferm Dig 2013;105:227-8
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Valdivielso Cortázar E, Carral Martínez D, Gómez Gutiérrez M, Bouzón Alejandro A. Adult-onset Morgagni’s hernia. 5425/2017


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Publication history

Received: 12/12/2017

Accepted: 20/12/2017

Online First: 01/03/2018

Published: 27/04/2018

Article Online First time: 79 days

Article editing time: 136 days


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