• Int J Surg Case Rep · Jan 2013

    Is this a mediastinal tumor? A case of Morgagni hernia complicated with intestinal incarceration mistaken for the mediastinal lipoma previously.

    • Teruya Komatsu and Yutaka Takahashi.
    • Department of General Thoracic Surgery, Kobe City Medical Center General Hospital, Japan. Electronic address: tk.thoracic@gmail.com.
    • Int J Surg Case Rep. 2013 Jan 1; 4 (3): 302-4.

    IntroductionMorgagni's hernia is a congenital herniation of abdominal viscera into the thoracic cavity through a retrosternal diaphragmatic defect.Presentation Of CaseWe present a case of incarcerated Morgagni hernia in a 69-year-old woman. Three years previously, she had undertaken a video-assisted thoracoscopic resection (VATS) of a mediastinal mass, which had been mistaken for a lipoma. Following the primary repair of the hernia at emergency laparotomy, the patient was discharged home uneventfully.DiscussionIrrespective of the radiologically characteristic findings of our case, the possibility of Morgagni hernia had not been entertained at the first operation. Thorough exploration around the diaphragm at the first VATS operation could have revealed the Morgagni hernia, ultimately avoiding the hernia-related complication such as an incarceration.ConclusionMorgagni hernia as a differential diagnosis in case of anterior mediastinal mass should not be missed.Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

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