All issues > Volume 20(6); 1977

Case Report

J Korean Pediatr Soc. 1977;20(6):476-479. Published online June 30, 1977.

Foramen of Morgagni Hernia in Infant

Byung W ook Kim¹, Poong Man Lee¹, Kyong Su Lee¹

¹Departmeηt of Pediatrics, Catholic Medical College, Seoul, Korea

Abstract

Morgagni hernia is an uncommon finding in adult and rarer still in infants and children, and they say that Morgagni hernia occur about one in every 300 diaphragmatic hernias diagnosed. This paper presents a 16 months oId Korean male infant with symptomatic Morgagni’ s hernia in whom the diagnosis was established during the course of treatment of upper respiratory tract infection and who were operated successfuIIy. This weII nourished patient was admitted with the chief complaints of mild dyspnea, coughing and restIessness for 2 days. During treatment and investigation we detected a peristaltic sound in the right side Iung field and confirmed it as Morgagni hernia by chest X-ray and barium swaIIowing. We performed corrective surgery through a midline supra-umbilicaI incision. As opened the peritoneum, transverse colon was gushed out, which suspected as herniated intestinaI Iòop. After well mobilization of visible boweI, hernia sac was notified from the anterior portion of right crus of diaphragm. The hernia was reduced very easily. The patient made an uninterrupted recovery and on the 8th post-op. day, he went to home with symptom-free state. We made a brief literature review.

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