Colonic necrosis because of strangulated recurrent Morgagni's hernia in a child with Down's syndrome.
Postoperative bowel obstruction complicating a recurrent Morgagni's hernia (MH) is an uncommon condition and hence the presentation. Nonspecific symptoms and misleading radiologic image may result in misdiagnosis and severe complications. We report the case of a child with a transverse colon necrosis because of strangulation in a misdiagnosed recurrent MH. The child presented with bowel obstruction and repeated chest infections. Colonic necrosis could be avoided by timely diagnosis and repair of MH. This severe and rare occurrence complicating a recurrent MH should be kept in mind in children with respiratory tract infections and vomiting.
Vaos
George
G
Second Department of Paediatric Surgery, P. and A. Kyriakou Children's Hospital, 11527 Athens, Greece. gvaos@hotmail.com
Skondras
Constantinos
C
D000714:Anastomosis, Surgical; D002648:Child; D003106:Colon / Q000473:pathology* / Q000601:surgery; D004314:Down Syndrome; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology; D008297:Male; D009336:Necrosis; D012008:Recurrence; D012141:Respiratory Tract Infections / Q000209:etiology