Original articleDown's syndrome as a factor in the diagnosis, management, and outcome in patients of Morgagni hernia
Section snippets
Patients and methods
All patients treated with a diagnosis of MH at Asir Central Hospital between January 1994 and December 2008 were studied. Asir Central Hospital serves the southern region of Saudi Arabia and is a tertiary care center and teaching hospital. Patients were divided into 2 groups: those with (group 2) and those without DS (group 1). Their records were retrospectively analyzed for demographics, presenting features, referral diagnoses, other associated congenital anomalies, investigations, and
Results
The demography, associated anomalies, and referral diagnoses of the 2 groups are displayed in the Table 1. The mean age was 14.5 months (median, 12 months) for the group without DS and 29.18 months (median, 12 months) for those with DS. Comparison of ages of the 2 groups by the Mann-Whitney test yielded nonsignificant differences (P = .621). Overall, there were 14 males and 8 females, with more males in the DS group. In both groups, the majority presented with respiratory tract symptoms. In the
Discussion
The large number of DS patients in this series presented us with a unique opportunity of comparing patients with MHs who have DS with those who do not. The age at which patients from both groups came to surgery was not significantly different in the 2 groups. However, the number of patients with “delayed diagnosis” was notably different. Delays were defined by the authors as more than 3 hospital admissions for symptoms and signs pertinent to MH but without its diagnosis. Nine patients in the DS
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Laparoscopic repair of Morgagni hernia in children
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