AI Article Synopsis
- A rare case of Morgagni hernia involved herniation of the liver into the pericardial sac, leading to an early antenatal diagnosis at 21 weeks of gestation.
- Two procedures were performed to drain fluid from the pericardial sac due to recurring effusion, and regular ultrasounds showed the liver progressively filling the right side of the chest.
- A procedure at 37 weeks created space for the lungs and airway support, and after successful surgery, the newborn girl had an uneventful recovery and was discharged 18 days later in good health.
Article Abstract
Herniation of the liver into the fluid-filled pericardial sac resulting in a thoracic mass is a particularly rare form of Morgagni hernia (congenital diaphragmatic hernia of Morgagni). We report an early antenatal diagnosis of congenital diaphragmatic hernia of Morgagni with pericardium effussion at 21 weeks' gestation. Two pericardiocentesis were performed at 21 and 22 4/7 weeks' gestation because of recurrence of pericardial effussion. Regular ultrasound assessments showed progressive herniation of the liver to practically fill the right hemithorax. An ex utero intrapartum treatment procedure was performed at 37 weeks' gestation to rescue maximum intrathoracic space for ventilation of the remaining functional lung tissue and to establish an airway for postnatal support. After birth, the patient successfully underwent early correction of the hernia. Postoperative course was uneventful, and the newborn girl was discharged 18 days later without complications and is currently doing well.
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| http://dx.doi.org/10.1016/j.jpedsurg.2009.11.009 | DOI Listing |
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