Funda KURT, Sinan OĞUZ, Meral DEMİR, Deniz TEKİN, Emine SUSKAN

ÇOCUKLARDA ÖKSÜRÜĞÜN NADİR BİR NEDENİ: MORGAGNİ HERNİSİ A Rare Cause of Cough in Children: Morgagni Hernia

ÖZETKonjenital diyafragma hernilerinin % 1-6’sını oluşturan Morgagni hernisi, anteriyor, parasternalveya retrosternal diyafragma hernisi olarak da bilinir. Çocuklarda dispne, öksürük, hırıltı ataklarıveya gastrointestinal bulgularla ortaya çıkabilir ya da erişkin yaşlara kadar asemptomatik kalabilir.Burada öksürük şikayeti ile hastaneye başvurmuş, tek taraflı solunum sesleri az duyulduğuiçin çekilen akciğer grafisi ile Morgagni hernisi tanısı almış olan bir olgu sunulmuştur. Bu çalışmanınamacı; nadir görülse de solunum veya gastrointestinal sistem bulgularıyla başvuran heryaştaki hastada Morgagni hernisinin ayırıcı tanıda akılda tutulması gerektiğini vurgulamaktır.Anahtar Kelimeler: Morgagni; Herni; ÇocukABSTRACTMorgagni hernia, which constitutes 1-6’s % of congenital diaphragmatic hernia is also known asanterior, parasternal or retrosternal hernia. Patients may remain asymptomatic until adulthoodor in children it can present with dyspnea, cough, wheezing episodes or gastrointestinalsymptoms. Patient applied to hospital with coughing complaint, diagnosis as Morgagni herniawith a chest xray because of having reduced unilateral lung sounds was presented in this casereport. Although Morgagni hernia is rarely seen, this case is presented to emphasize thatyou need to keep in mind in the differential diagnosis in patients of all ages presenting withrespiratory or gastrointestinal symptoms.Keywords: Morgagni; Hernia; Child

Anahtar Kelimeler:

ÇOCUKLARDA ÖKSÜRÜĞÜN NADİR BİR NEDENİ: MORGAGNİ HERNİSİ A Rare Cause of Cough in Children: Morgagni Hernia

PDF

___

Grisaru-Granovsky S, Rabinowitz R, Ioscovich A, Elstein D, Schimmel MS. Congenital diaphragmatic hernia: review of theliterature in reflection of unresolved dilemmas. Acta Paediatr 2009; 98(12): 1874-81. 2. Simson JN, Eckstein HB. Congenital diaphragmatic hernia: a 20 year experience. Br J Surg 1985; 72(9): 733-6. 3. Akbiyik F, Tiryaki TH, Senel E, Mambet E, Livanelioğlu Z, Atayurt H. Is hernial sac removal necessary? Retrospective evaluation of eight patients with Morgagni hernia in 5 years. Pediatr Surg Int 2006; 22(10): 825-7. 4. Nasr A, Fecteau A. Foramen of Morgagni hernia: presentation and treatment. Thorac Surg Clin 2009; 19(4): 463-8. 5. Federico JA, Ponn RB. Foramen morgagni hernia. In: Shields TW, LoCicero III J, Ponn RB, editors. General thorasicsurgery. 5 th ed. Philadelphia: Lippincott Williams and Wilkins; 2000. p. 647-60. 6. Pokorny WJ, McGill CW, Harberg FJ. Morgagni hernia sduringin fancy: presentation and associated anomalies. J Pediatr Surg 1984; 19(4): 394-7. 7. Al-Salem AH. Congenital hernia of Morgagni in infants and children. J Pediatr Surg 2007; 42(9): 1539-43. 8. Solmaz Eruyar, Ayşegül Ceyhan, Işın Gençay, Pınar Aslanargun, Hale Yarkan Uysal, Bayazıt Dikmen. Anesthetic approach in a pediatric patient with congenital Morgagni hernia: a case report. Gulhane Med J 2010; 52(3): 222-4. 9. Snyder WH Jr, Greaney EM Jr. Congenital diaphragmatic hernia; 77 consecutive cases. Surgery 1965; 57: 576-88.