title: Gastric volvulus through a Morgagni hernia: multidetector computed tomography diagnosis.
abstract: Hernia through the foramen of Morgagni (HM) is uncommon in adults, accounting for only 3% of all treated diaphragmatic hernias. We report a very rare case of acute gastric volvulus producing within this type of hernia. It was found in an 81-year-old man presenting with symptoms of acute gastric outlet obstruction. The diagnosis was first suspected on plain abdominal and chest radiographs, but a safe and complete anatomic preoperative diagnosis was clearly achieved with multidetector computed tomography (MDCT). The paper refers to the basic anatomy, clinical symptoms, diagnostic, and therapeutic considerations for HM and emphasizes the major advantages of MDCT in acute surgical conditions implicating the thoracic abdominal junction.
authors: Department of Radiology, Clinique St Luc, rue St Luc, 8, 5004 BOUGE (NAMUR), Belgium. bcoulier@skynet.be
authors: Bruno
authors: B
authors: Coulier
authors: Bernard
authors: B
authors: Broze
mesh_terms: D000369:Aged, 80 and over; D003287:Contrast Media; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D011860:Radiography, Abdominal; D013277:Stomach Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D013396:Suction; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D003287:Contrast Media
references: Surg Today. 1996;26(6):446-8
references: 8782306
references: Surg Today. 2002;32(10):902-5
references: 12376790
references: Hernia. 2006 Dec;10 (6):525-7
references: 16953338
references: J Radiol. 2004 Jul-Aug;85(7-8):1070-3
references: 15332012
references: J Emerg Med. 1994 May-Jun;12(3):299-306
references: 8040585
references: Arch Surg. 2004 Dec;139(12 ):1299-300
references: 15611453
references: Can Med Assoc J. 1985 Aug 1;133(3):209-10
references: 4016626
references: Acta Chir Belg. 2000 Feb;100(1):31-3
references: 10776525
references: Ann Thorac Surg. 2004 Jun;77(6):1956-9
references: 15172245
references: MedGenMed. 2005 Dec 15;7(4):70
references: 16614692
references: Dig Surg. 2003;20(6):497-9
references: 14506329
references: JBR-BTR. 2002;85(1):43
references: 11936479
references: Br J Surg. 1971 Aug;58(8):557-62
references: 5558165
references: Am J Gastroenterol. 1989 Sep;84(9):1106-8
references: 2773904
references: Pediatr Surg Int. 2000;16(1-2):107-8
references: 10663853