Shi HQ, Chen WJ, Yin Q, Zhang XH. Ultrasound diagnosis of congenital Morgagni hernias: Ten years of experience at two Chinese centers. World J Clin Cases 2024; 12(3): 495-502 [PMID: 38322462 DOI: 10.12998/wjcc.v12.i3.495]
Corresponding Author of This Article
Xue-Hua Zhang, MD, PhD, Chief Doctor, Director, Doctor, Department of Ultrasound, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No. 996 Hengyu Road, Fuzhou 350011, Fujian Province, China. 93225712@qq.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hui-Qing Shi, Xue-Hua Zhang, Department of Ultrasound, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou 350011, Fujian Province, China
Wen-Juan Chen, Department of Ultrasound, Hunan Children’s Hospital, University of South China, Changsha 410007, Hunan Province, China
Qiang Yin, Department of Pediatric Surgery, Hunan Children’s Hospital, University of South China, Changsha 410007, Hunan Province, China
Author contributions: Zhang XH designed research; Shi HQ, Chen WJ, Yin Q, and Zhang XH performed research; Zhang XH contributed analytic tools; Shi HQ and Zhang XH wrote paper.
Supported byStartup Fund for Scientific Research, Fujian Province Science and Technology Innovation Joint Fund Project, No. 2021Y9188.
Institutional review board statement: The study was approved by the Medical Ethics Committee of Fujian Children’s Hospital and Hunan Children’s Hospital.
Informed consent statement: Informed consent was waived from the parents.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data used for analysis in our study are available from the corresponding author on reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xue-Hua Zhang, MD, PhD, Chief Doctor, Director, Doctor, Department of Ultrasound, Fujian Children’s Hospital (Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, No. 996 Hengyu Road, Fuzhou 350011, Fujian Province, China. 93225712@qq.com
Received: November 13, 2023 Peer-review started: November 13, 2023 First decision: November 22, 2023 Revised: December 4, 2023 Accepted: January 2, 2024 Article in press: January 2, 2024 Published online: January 26, 2024 Processing time: 66 Days and 0 Hours
Abstract
BACKGROUND
Morgagni hernias are rare anomalies that are easily misdiagnosed or missed.
AIM
To summarize the ultrasound (US) imaging characteristics of Morgagni hernias through a comparison of imaging and surgical results.
METHODS
The records of children with Morgagni hernias who were hospitalized at two hospitals between January 2013 and November 2023 were retrospectively reviewed in terms of clinical findings, US features, and operative details.
RESULTS
Between 2013 and 2023, we observed nine (five male and four female) children with Morgagni hernias. Upper abdominal scanning revealed a widening of the prehepatic space, with an abnormal channel extending from the xiphoid process to the right or left side of the thoracic cavity. The channel had intestinal duct and intestinal gas echoes. Hernia contents were found in the transverse colon (n = 6), the colon and small intestine (n = 2), and the colon and stomach (n = 1). Among the patients, seven had a right-sided lesion, two had a left-sided lesion, and all of them had hernial sacs.
CONCLUSION
US imaging can accurately determine the location, extent, and content of Morgagni hernias. For suspected Morgagni hernias, we recommend performing sonographic screening first.
Core Tip: Morgagni hernias are rare and easily misdiagnosed or missed. In this report, retrosternal hernias accidentally discovered by ultrasound. The ultrasonic and clinical characteristics are summarized to provide a simple and effective basis for early diagnosis. Ultrasonic imaging can accurately determine the location, extent, and content of Morgagni hernias. For suspected Morgagni hernias, we recommend performing sonographic screening first.
