title: [Retro-costo-xyphoid hernia in adults. Apropos of 3 cases].
abstract: Three cases of retrosternal diaphragmatic hernia (Morgagni hernia) are reported. Diagnosis have been made by conventional radiology (Chest X-ray, Upper G-I series) in 2 cases: the third one was found incidentally during a laparotomy. Peritoneography, CT scan, NMR are recommended in the difficult cases. ONe case presented as acute gastric outlet obstruction secondary to an intra-thoracic volvulus of the herniated stomach. Surgical treatment is indicated in all cases of retrosternal diaphragmatic hernia because of the high-risk of complications (gastric volvulus, colonic obstruction). Surgery through an abdominal approach is preferred and post-operative course is benign.
authors.affiliation: Service de Chirurgie Générale à l'hôpital Saint-Georges, Liban.
authors.forename: R
authors.initials: R
authors.lastname: Daou
authors.forename: S
authors.initials: S
authors.lastname: Serhal
authors.forename: F
authors.initials: F
authors.lastname: Jureidini
authors.forename: P
authors.initials: P
authors.lastname: Demian
mesh_terms: D000328:Adult; D000368:Aged; D003108:Colonic Diseases / Q000209:etiology*; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D013277:Stomach Volvulus / Q000209:etiology*
vernacular_title: Hernie rétro-costo-xyphoïdienne de l'adulte. A propos de 3 observations.