md-medicaldata

Authors

Branislav Tušek^1,2, Dunja Tušek², Jelena Papović², Dušan Škrbić², Jelena Đekić-Malbaša^1,2, Aleksandar Đurić^1,3, Mirna Đurić <sup>1,2

1</sup>Institut za plućne bolesti Vojvodine, Sremska Kamenica, Srbija
²Institute of Child and Youth Health Care of Vojvodina, Novi Sad, Serbia
³Institut za onkologiju Vojvodine, Sremska Kamenica, Srbija

 

UDK: 616.26-007.43

The paper was received / Rad primljen 30.10.2025.

Accepted / Rad prihvaćen: 02.11.2025.

 

Correspondence to:

Branislav Tušek
Institut za plućne bolesti Vojvodine
Put doktora Goldmana 4,
Sremska Kamenica
Tel. +381643070688
e-mail: branislav.tusek@mf.uns.ac.rs

 

 

Sažetak

 

 

Uvod: Dijafragma je mišićno-tetivna struktura koja formira granicu između grudne i abdominalne šupljine, igrajući važnu ulogu u respiraciji. Dijafragmalne hernije su relativno retke i mogu biti kongenitalne ili stečene, pri čemu je Morganjijeva hernija jedna od najprepoznatljivijih kongenitalnih hernija. Najčešće se dijagnostikuje kod pediijatrijskih pacijenata i veoma retko sreće kod odraslih. Radiološke tehnike, kao što su kompjuterizovano tomografsko snimanje (CT), omogućile su otkrivanje ovih hernija u kasnijim godinama, čak i bez jasnih kliničkih simptoma. Prikaz slučaja: Pacijentkinja starosti 87 godina primljena je zbog COVID pneumonije. Na CT grudnog koša je pored pneumonije dijagnostikovana Morganjijeva hernija sa prisustvom sadržaja vijuga creva. Pneumonija je uspešno izlečena, sa aspekta grudne hirurgije nije preporučeno operativno zbrinjavanje asimptomatske kongenitalne kile usled povišenog operativnog rizika. Zaključak: Morganjijeva hernija kod odraslih može biti asimptomatska ili se manifestovati nespecifičnim simptomima. Zbog mogućih ozbiljnih komplikacija kao što su inkarceracija i opstrukcija creva, preporučuje se hirurška intervencija posebno kod pacijenata sa simptomima. Za asimptomatske slučajeve, odluka o operaciji mora biti individualna, uzimajući u obzir rizik pacijenta i specifičnosti kliničkog stanja. Potrebna su dalja istraživanja kako bi se definisali standardizovani protokoli lečenja.

 

Ključne reči:

Morganjijeva hernija, dijafragma, kongenitalna malformacija, starost.

 

 

 

Abstract

 

Introduction: The diaphragm is a muscle-tendon structure that forms the boundary between the thoracic and abdominal cavities, playing an important role in respiration. Diaphragmatic hernias are relatively rare and can be congenital or acquired, with Morgagni hernia being one of the most recognizable congenital hernias. It is most commonly diagnosed in pediatric patients and is very rarely encountered in adults. Radiological techniques, such as CT scanning, have enabled the detection of these hernias in later years, even without clear clinical symptoms. Case Presentation: An 87-year-old female patient was admitted due to COVID pneumonia. A CT scan of the thorax revealed Morgagni hernia alongside pneumonia, with the presence of intestinal loops. Pneumonia was successfully treated, and from a thoracic surgery perspective, surgical intervention for the asymptomatic congenital hernia was not recommended due to the high surgical risk. Conclusion: Morgagni hernia in adults can be asymptomatic or manifest with nonspecific symptoms. Due to the potential for serious complications such as incarceration and bowel obstruction, surgical intervention is recommended, especially in symptomatic cases. For asymptomatic cases, the decision for surgery must be individualized, taking into account the patient's risk and the specifics of the clinical condition. Further research is needed to establish standardized treatment protocols.

 

Key words:

Morgagni hernia, diaphragm, congenital hernia, elderly.

 

 

 

 

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PDF: 09-Tušek B. et al MD-Medical Data 2025;17(3) 185-188.pdf