title: Incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy.
abstract: We present an incarcerated Morgagni hernia in an octogenarian with incidental right-sided colonic malignancy who was admitted to clinic due to abdominal pain and symptoms of intestinal obstruction. An 85-old male patient had a history of constipation, abdominal distension, pain, vomiting, nausea and radiographic features of bowel obstruction and mediastinal mass in right lower chest. Under suspicion of acute intestinal obstruction due to transverse colon herniation in thorax through Morgagni foramen, emergent laparotomy was performed. Morgagni foramen was located on the right-sided anterior diaphragm and Morgagni hernia which contained of incarcerated transverse colon, greater omentum and 70 cm small bowel after releasing the adhesions was gently reduced. In the same time right-sided colon malignancy was found. Morgagni foramen measuring 7 cm in diameter was sutured first and decompressive bypass ileocolic anastomosis was created. The role of emergent surgery, even in advanced age, is emphasized.
authors.affiliation: Department of General Surgery, Cantonal Hospital Bihac, Bihac, Bosnia and Herzegovina. dzgaco@bih.net.ba
authors.forename: Suad
authors.initials: S
authors.lastname: Gaco
authors.forename: Goran
authors.initials: G
authors.lastname: Krdzalic
authors.forename: Alisa
authors.initials: A
authors.lastname: Krdzalic
mesh_terms: D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications*; D006548:Hernia, Diaphragmatic / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male