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

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 ne...

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Bibliographic Details
Published in:Journal of pediatric surgery 2006-03, Vol.41 (3), p.589-591
Main Authors: Vaos, George, Skondras, Constantinos
Format: Article
Language:English
Subjects:
Anastomosis, Surgical
Child
Colon - pathology
Colon - surgery
Down Syndrome
Hernia, Diaphragmatic - complications
Hernia, Diaphragmatic - pathology
Hernia, Diaphragmatic - surgery
Humans
Intestinal Obstruction - complications
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestinal Perforation - etiology
Male
Necrosis
Recurrence
Respiratory Tract Infections - etiology
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Description
Summary: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.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2005.11.063