Unusual Diaphragmatic Hernias Mimicking Cardiac Masses.
10.4250/jcu.2015.23.2.107
- Author:
Si Hun KIM
1
;
Myoung Gun KIM
;
Su Ji KIM
;
Jeonggeun MOON
;
Woong Chol KANG
;
Mi Seung SHIN
;
Wook Jin CHUNG
Author Information
1. Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea. heart@gachon.ac.kr
- Publication Type:Case Report
- Keywords:
Cardiac mass;
Echocardiography;
Diaphragmatic hernia;
Hiatal hernia;
Morgagni hernia
- MeSH:
Diagnosis, Differential;
Echocardiography;
Heart Atria;
Hernia;
Hernia, Diaphragmatic*;
Hernia, Hiatal
- From:Journal of Cardiovascular Ultrasound
2015;23(2):107-112
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hiatal hernia and Morgagni hernia are sorts of diaphragmatic hernias that are rarely detected on transthoracic echocardiography. Although echocardiographic findings have an important role for differential diagnosis of cardiac masses, we often might overlook diaphragmatic hernia. We report three cases of diaphragmatic hernias having specific features. The first case is huge hiatal hernia that encroaches left atrium with internal swirling flow on transthoracic echocardiography. The second case is a hiatal hernia that encroaches on both atria, incidentally detected on preoperative echocardiography. The third case is Morgagni hernia which encroaches on the right atrium only. So, we need to consider possibility of diaphragmatic hernia when we find a cardiac mass with specific echocardiographic features.
