Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Morgagni Hernia in a 3-year Old Boy - a Case Report -

3세 남아에서 발생한 Morgagni 탈장 - 1예 보고 -

  • Jeong, Hye-Yeon (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Kim, Ae-Suk (Department of Pediatrics, College of Medicine, Dongguk University) ;
  • Choi, Sung-Min (Department of Pediatrics, College of Medicine, Dongguk University) ;
  • Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
  • 정혜연 (경북대학교 의과대학 외과학교실) ;
  • 김애숙 (동국대학교 의과대학 소아과학교실) ;
  • 최성민 (동국대학교 의과대학 소아과학교실) ;
  • 박진영 (경북대학교 의과대학 외과학교실)
  • Received : 2006.11.15
  • Accepted : 2007.02.06
  • Published : 2007.06.30
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Abstract

A 3-year-old boy with purulent otitis media received a chest radiograph as the part of a routine work up. The patient was normal appearing, in no acute distress. The patient's lung and heart sounds were clear and normal. The patient's abdomen was soft, non-distended, and non-tender. An anterior cardiophrenic mass was incidentally identified on the lateral chest radiograph. A computed tomography scan demonstrated a diaphragmatic hernia with bowel loops in the retrosternal space. An exploratory operation revealed a diaphragmatic defect (4 cm in diameter) on the left side of the falciform ligament, through which transverse colon was protruded. There was no hernia sac, and the defect was closed with interrupted No. 2 silk sutures. The child was discharged on the 8th postoperative day without any complications. During 6 months of follow-up period, recurrence was not noticed.

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