Bilateral Morgagni Hernias Association with Left Bochdalek Diaphragmatic Hernia: A Very Rare Anomaly

Rangsan Niramis MD*, Wannisa Poocharoen MD*, Sukawat Watanatittan MD*

Affiliation : * Department of Surgery, Queen Sirikit National Institute of Child Health (Children’s Hospital), College of Medicine, Rangsit University, Bangkok

Morgagni hernia association with Bochdalek diaphragmatic hernia is a very rare congenital anomaly. The authors reported a 2-year-and-2-month-old boy with Down syndrome who has a history of recurrent pneumonia over a one-year period. A chest film of the first admission at 6 months of age revealed only minimal pulmonary infiltration and normal findings of both sides of the diaphragm. The last investigations with chest films and CT scan were suggestive of sequestration of the right lung with left Morgagni and left Bochdalek diaphragmatic hernias. An exploratory laparotomy revealed bilateral Morgagni and left Bochdalek hernias with hernial sacs in all of the diaphragmatic defects. All of the hernial sacs were excised and the diaphragmatic defects were closed with 2-0 silk interruptedly. Postoperative course was uneventful and he was doing well during his follow-up at one year.

Keywords : Morgagni hernia, Bochdalek hernia, Retrosternal hernia, Parasternal hernia, Posterolateral hernia, Acquired congenital diaphragmatic hernia

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