Two Cases of Sliding Hiatal and Morgagni Hernia Mimicking Pericardial Lipomas.
10.4070/kcj.1998.28.4.632
- Author:
Nam Ho KIM
;
Myung Ho JEONG
;
Woo Suck PARK
;
Joon Yoo KIM
;
Sung Hee KIM
;
Ju Han KIM
;
Youl BAE
;
Young Keun AHN
;
Jeong Pyeong SEO
;
Jong Cheol PARK
;
Kwang Soo CHA
;
Joo Hyung PARK
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chaee KANG
- Publication Type:Case Report
- Keywords:
Hiatal hernia;
Morgagni hernia;
Pericardial mass
- MeSH:
Diagnosis;
Diagnosis, Differential;
Gastrointestinal Tract;
Heart;
Hernia*;
Hernia, Hiatal;
Lipoma*;
Omentum;
Thorax
- From:Korean Circulation Journal
1998;28(4):632-637
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The differential diagnosis between pericardial and non-cardiac masses may be sometimes difficult in the evaluation of chest mass adjacent to the heart. One misdiagnosed case of non-cardiac mass as a pericardial mass turned out to be a hernia. When the contents of hernia originate from the gastrointestinal tract, the diagnosis is made easily by air-fluid shadow on plain chest roentgenogram. Morgagni hernia is usually detected on plain chest roentgenograms as a smooth, supradiaphragmatic shadow at the right pericardiophrenic angle. In the case of Morgagni hernia, in which the contents are only the omentum, it is necessary to differentiate the hernia from mediastinal fatty tumors. We report two cases of hiatal and Morgagni hernia containing omentum which were misdiagnosed as pericardial masses.
