How is morgagni hernia diagnosed?
Patients with Morgagni hernias may present with respiratory symptoms, gastrointestinal complaints, or may be asymptomatic. [15] [Level 4] Workup includes a chest radiograph that may show air-containing viscus; if the diagnosis is inconclusive, a CT scan can be obtained to confirm the diagnosis.
What type of hernia is a morgagni hernia?
Morgagni hernia is a rare type of congenital diaphragmatic hernia. It accounts for only 3% of all diaphragmatic hernias. The defect is small and hernia being asymptomatic in the majority presents late in adulthood. Obstruction or incarceration in Morgagni hernia is uncommon.
What is foramen of morgagni?
The foramina of Morgagni, also known as the sternocostal triangles, are small defects in the posterior aspect of the anterior thoracic wall between the sternal and costal attachments of the diaphragm. The internal thoracic vessels descend through these foramina to become the superior epigastric vessels.
What organ is herniated in Morgagni hernia?
Morgagni hernias most often contain omental fat, but transverse colon (60%), stomach (12%) and small intestine may be included within the hernia 9.
What is the difference between a hiatal hernia and a sliding hiatal hernia?
In a hiatal hernia, the stomach bulges up into the chest through that opening. There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus). In a sliding hiatal hernia, the stomach and the section of the esophagus that joins the stomach slide up into the chest through the hiatus.
What organ is herniated in morgagni hernia?
Which structure passes through the sinus of morgagni?
The sinus of Morgagni is a defect in the anterior aspect of the pharyngobasilar fascia. It transmits the Eustachian tube and tensor veli palatini muscle and allows communication between the nasopharynx and middle ear.
Can you live with a diaphragmatic hernia?
Blunt thoracic and abdominal trauma associated with a 5% to 7% incidence of diaphragmatic injury, and in 3% to 15% for those with penetrating injury. These injuries may be left unrecognized when they occur but often are uncovered months later during work up for related symptoms.
What is the differential diagnosis for Morgagni hernia?
Differential diagnosis. The main differential diagnosis for Morgagni hernia is a cardiophrenic fat pad. Other cardiophrenic angle lesions can be considered in the differential diagnosis on chest radiograph, although Morgagni hernia is relatively radiolucent compared with other lesions not containing fat.
What is the difference between a Bochdalek and Morgagni hernia?
Morgagni hernias are one of the congenital diaphragmatic hernias (CDH), and is characterized by herniation through the foramen of Morgagni. When compared to Bochdalek hernias, Morgagni hernias are: Only ~30% of patients are symptomatic. Newborns may present with respiratory distress at birth similar to a Bochdalek hernia.
Should asymptomatic hernia repair be performed laparoscopically?
Some sources recommend laparoscopic surgical repair, even in asymptomatic patients, to avoid the risk of strangulation of the hernia contents 6. Giovanni Battista Morgagni (1682-1771) was an Italian pediatric surgeon 8 .
Can a hernia mimic diaphragmatic rupture from trauma?
Morgagni hernia may rarely mimic diaphragmatic rupture from trauma, but you would expect to find other supportive signs of chest and/or abdominal trauma. Also diaphragm rupture is most commonly posterior and posterolaterally, rather than anteriorly where Morgagni’s foramina are located.