Giant morgagni hernia causing cardiac tamponade.
A 57-year-old man presented with worsening symptoms of shortness of breath and chest pain. He was found to have a giant Morgagni hernia with severe compression of his right ventricle on computed tomography scan. The hernia which contained greater omentum, small intestine and transverse colon was urgently repaired through a median sternotomy and laparotomy with a polypropylene mesh. Morgagni hernia is a type of congenital diaphragmatic hernia, which may not be symptomatic until adulthood. Presentation with this degree of right ventricular compression is rare.
Matsushita
Tsutomu
T
Department of Cardiothoracic Surgery, John Hunter Hospital, Lookout Road, New Lambton, NSW 2305, Australia. atmatsu@tokyonet.com.au
Seah
Peng W
PW
Gani
Jonathon
J
D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D002637:Chest Pain / Q000000981:diagnostic imaging / Q000209:etiology; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed