Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.
-
Upload
dana-reynolds -
Category
Documents
-
view
229 -
download
0
Transcript of Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.
![Page 1: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/1.jpg)
Morgagni Hernia
Brian Belyea
Radiology Elective Block 8
February 27, 2004
![Page 2: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/2.jpg)
• 6 week old male
• s/p bilateral inguinal hernia repair 2/6
• Discharged from hospital 2/7
• Presented to clinic 2/9 with wound infection and Temp 38.5
![Page 3: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/3.jpg)
• Fever workup began in clinic
• Blood Cx, Urine Cx, LP performed
• PA and Lateral CXR were performed
![Page 4: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/4.jpg)
![Page 5: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/5.jpg)
![Page 6: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/6.jpg)
• Follow CT scan performed 2/10
![Page 7: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/7.jpg)
![Page 8: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/8.jpg)
![Page 9: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/9.jpg)
![Page 10: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/10.jpg)
![Page 11: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/11.jpg)
![Page 12: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/12.jpg)
![Page 13: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/13.jpg)
![Page 14: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/14.jpg)
• All cultures negative x 48 hrs
• Patient d/c’d 2/11 on 5 day course Keflex
• Pt to follow up with pediatric surgeon for evaluation of Morgagni Hernia
![Page 15: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/15.jpg)
Morgagni Hernia
• Rare congenital disorder (3-4% of CDH)
• Usually asymptomatic, may cause respiratory or gastrointestinal symptoms
• 30% diagnosed incidentally
![Page 16: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/16.jpg)
• Most common symptoms are dyspnea and chest pain
• Complication is strangulation of gastrointestinal organs
• Diagnosis made radiographically – CT is best imaging method
![Page 17: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/17.jpg)
• Treatment is elective surgery in order to prevent possible complications of strangulation
• Primary repair is done via abdominal or thoracic approach
• Kurkcuoglu, IC, et al. Diagnosis and Surgical Treatment of Morgagni Hernia: Report of Three Cases. Surgery Today, 2003. 33:525-528.
![Page 18: Morgagni Hernia Brian Belyea Radiology Elective Block 8 February 27, 2004.](https://reader036.fdocuments.in/reader036/viewer/2022081501/56649f3f5503460f94c60106/html5/thumbnails/18.jpg)