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Other Diaphragmatic Hernias: Late-Presenting Bochdalek Hernia, Morgagni Hernia, and Giant Hiatal Hernia of Infancy

  • Morgan K. Moroi
  • Christopher J. McLaughlin
  • Robert E. CilleyEmail author
Chapter

Abstract

A smaller number of congenital diaphragmatic hernia (CDH) patients may present later in life with typical postero-lateral defects. Morgagni hernias are centrally located anterior diaphragm defects. Rarely, an infant will be found to have an “intrathoracic stomach,” consistent with giant hiatal hernia. Correction is performed promptly. Late-presenting CDH may be repaired via laparotomy, thoracotomy, or thoracoscopy. For Morgagni hernias, laparoscopic repair is the method of choice. For giant hiatal hernias of infancy with an intrathoracic stomach, open or laparoscopic methods may be used. An antireflux procedure and a gastrostomy are also typically included.

Keywords

Diaphragmatic hernia Morgagni hernia Hiatal hernia 

References

  1. 1.
    Stolar C, Dillon P. Pediatric surgery. In: Coran AG, Adzick NS, Krummel TM, Laberge JM, Shamberger RC, Caldamone AA, editors. Congenital diaphragmatic hernia and eventration. 7th ed. Philadelphia: Saunders; 2012.Google Scholar
  2. 2.
    Kitano Y, Lally KP, Lally PA. Late-presenting congenital diaphragmatic hernia. J Pediatr Surg. 2005;40(12):1839–43.CrossRefGoogle Scholar
  3. 3.
    Golden J, Barry WE, Jang G, Nguyen N, Bliss D. Pediatric Morgagni diaphragmatic hernia: a descriptive study. Pediatr Surg Int. 2017;33(7):771–5.CrossRefGoogle Scholar
  4. 4.
    Kohn GP, Price RR, Demeester SR, Zehetner J, Muensterer OJ, Awad Z, Mittal SK, Richardson WS, Stefanidis D, Fanelli RD. Guidelines for the management of hiatal hernia. Surg Endosc. 2013;27(12):4409–28.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Morgan K. Moroi
    • 1
  • Christopher J. McLaughlin
    • 1
  • Robert E. Cilley
    • 1
    Email author
  1. 1.Department of SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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