[Intestinal occlusion caused by strangulated Morgagni-Larrey hernia: clinical case and review of the literature].
Morgagni-Larrey hernia is an infrequent, asymptomatic disease discovered by chance during routine radiological examination. It is usually congenital and non-traumatic even in adults. Nevertheless, it can cause severe disturbances when complicated. We describe a case of strangulated Morgagni-Larrey hernia in a 73-year-old lady admitted to the Emergency Room for abdominal pain, symptoms of intestinal occlusion and respiratory distress. Routine abdominal and chest x-rays revealed herniation of the stomach and transverse colon filling the entire right hemithorax with several air-fluid levels. A CT scan and a water-soluble contrast medium via a nasogastric tube confirmed the presence of the stomach and omentum in the right pleural cavity. Emergency laparotomy permitted reduction of the herniation and treatment of the diaphragmatic defect without resection.
Bencini
L
L
Divisione di Chirurgia Generale 1a e Trapianti d'Organo, Azienda Ospedaliera di Careggi, Viale Morgagni 85, 50134 Firenze.
Pampaloni
F
F
Taddei
G
G
Moretti
R
R
D000368:Aged; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*