The cumulative data regarding five cases of Morgagni hernias in infants and children over the last six years have been reviewed. All five patients were clinically normal upon presentation; however, the most common symptoms and signs were respiratory. Chest x-ray was the most common diagnostic test. The diagnoses were also later confirmed with preoperative barium meal studies. All of the patients had additional congenital anomalies, of which malrotation of the gut was the most commonly encountered. Upon operation, all of the cases contained a hollow viscus, and had a sac. The defects were repaired through abdominal approaches. There was no mortality and postoperative complication in these series.
Child ; Child, Preschool ; Female ; Hernia, Diaphragmatic/radiography/*surgery ; Human ; Infant ; Infant, Newborn ; Male

A 70-yr-old woman complained of left sided chest pain and non-bilious vomiting for four days after taking a gastric bloating agent for an upper gastrointestinal study. The chest radiography revealed gastric air-fluid levels and bowel loops in the left thoracic cavity. An emergency thoracotomy was performed. The abdominal organs (stomach, spleen, splenic flexure of the colon) were in the left thorax and the entire left hemidiaphragm was absent. There were no diaphragmatic remnants visible for reconstruction of the left diaphragm. We provided warm saline irrigation and performed a left lower lobe adhesiotomy. Thirteen days after surgery, the chest radiography showed improvement in the herniation but mild haziness remained at the left lower lung field. Here we present the oldest case of congenital diaphragmatic agenesis presenting with transient gastric volvulus and diaphragmatic hernia.
Aged ; Diagnosis, Differential ; Diaphragm/*abnormalities/radiography/surgery ; Female ; Hernia, Diaphragmatic/*diagnosis/radiography/surgery ; Humans ; Stomach Volvulus/*diagnosis/surgery ; Tomography, X-Ray Computed

A 70-yr-old woman complained of left sided chest pain and non-bilious vomiting for four days after taking a gastric bloating agent for an upper gastrointestinal study. The chest radiography revealed gastric air-fluid levels and bowel loops in the left thoracic cavity. An emergency thoracotomy was performed. The abdominal organs (stomach, spleen, splenic flexure of the colon) were in the left thorax and the entire left hemidiaphragm was absent. There were no diaphragmatic remnants visible for reconstruction of the left diaphragm. We provided warm saline irrigation and performed a left lower lobe adhesiotomy. Thirteen days after surgery, the chest radiography showed improvement in the herniation but mild haziness remained at the left lower lung field. Here we present the oldest case of congenital diaphragmatic agenesis presenting with transient gastric volvulus and diaphragmatic hernia.
Aged ; Diagnosis, Differential ; Diaphragm/*abnormalities/radiography/surgery ; Female ; Hernia, Diaphragmatic/*diagnosis/radiography/surgery ; Humans ; Stomach Volvulus/*diagnosis/surgery ; Tomography, X-Ray Computed

No abstract available.
Aged ; Chronic Disease ; Female ; Gastroparesis/complications/*diagnosis/radiography ; Gastroscopy ; Hernia, Diaphragmatic/complications/*diagnosis ; Humans ; Stomach Volvulus/*diagnosis/etiology/surgery ; Tomography, X-Ray Computed