Int Cancer Conf J

. 2023 Jul 5;12(4):263-267.

 doi: 10.1007/s13691-023-00614-w. eCollection 2023 Oct. https://pubmed.ncbi.nlm.nih.gov/37577349/

A rare case of pseudomyxoma peritonei with Morgagni hernia

Toru Imagami ¹, Yasumitsu Oe ¹, Byonggu An ¹, Nobuyuki Takao ¹, Takeshi Togawa ¹, Akiyoshi Mizumoto ¹

Affiliations expand

• PMID: 37577349
• PMCID: PMC10421794 (available on 2024-07-05)
• DOI: 10.1007/s13691-023-00614-w

Abstract

Both pseudomyxoma peritonei and Morgagni hernias in adults are rare clinical conditions. A 70-year-old woman who was diagnosed with pseudomyxoma peritonei with Morgagni hernia underwent cytoreductive surgery and primary repair. Pseudomyxoma peritonei causes increased intra-abdominal pressure that may lead to acquired congenital diaphragmatic hernia when there is a local fragility in the diaphragmatic musculature. Parietal peritonectomy of the right diaphragmatic peritoneum can safely remove the hernia sac. The high rate of infections associated with cytoreductive surgery causes hesitation for concurrent mesh repair for Morgagni hernia. This is the first report of pseudomyxoma peritonei with Morgagni hernia. Cytoreductive surgery including parietal peritonectomy of the right diaphragmatic peritoneum plus primary repair of hernial defect was performed safely and successfully, which achieved positive short-term results for patients with pseudomyxoma peritonei-associated Morgagni hernia.

Keywords: Cytoreductive surgery; Morgagni hernia; Peritonectomy; Pseudomyxoma peritonei.

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