Colonic necrosis because of strangulated recurrent Morgagni's hernia in a child with Down's syndrome

Journal of Pediatric Surgery
George Vaos, Constantinos Skondras

Abstract

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.

References

Oct 1, 1989·Journal of Pediatric Surgery·L BermanB Shandling
Feb 9, 2000·Pediatric Surgery International·J Estevão-CostaJ E da Costa

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Citations

Sep 11, 2007·Pediatric Surgery International·Murat Kemal CigdemSelcuk Otcu
Feb 10, 2010·World Journal of Pediatrics : WJP·Ahmed Hassan Al-Salem
Dec 15, 2015·The Journal of Pediatrics·Salvatore GarofaloJürgen Schleef
Apr 19, 2011·Journal of Pediatric Surgery·Nishith Kumar JetleyAli M Al-Bin Ali

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