Salman A B, Tanyel F C, Senocak M E, Büyükpamukçu N
Department of Pediatric Surgery, Atatürk University Faculty of Medicine, Erzurum.
Turk J Pediatr. 1999 Oct-Dec;41(4):483-8.
A retrospective clinical study was performed to evaluate the hernias encountered in the anterior part of the diaphragm. Twenty patients (14 males, 6 females; aged 7 days-7 years) with hernias located in the anterior part of the diaphragm who were treated surgically formed the study group. The exact locations, contents and additional malformations were evaluated. The locations were parasternal in 14 and retrosternal in six. Parasternal locations were the right side in 11, left side in two and bilateral in one patient. Three patients had trisomy 21 syndrome. A sac was presented in all cases and included the colon in 12 patients. A patient with retrosternal location also had trisomy 21 syndrome. The patients with retrosternal hernias also presented with sacs, and the colon was the most commonly included viscus. In the presented series, no intrapericardial herniations or anteromedial defects were encountered. Comparison of previously reported patients and the present series suggests that the anterior part of the diaphragm hosts various hernias of congenital origin in its different locations. According to the exact location and the presence or absence of sacs, four different types of hernias occur in this area: retrosternal hernias with a sac, intrapericardial herniation, and parasternal and anteromedial hernias with either unilateral or bilateral involvements. Since four different hernias were distinguished, the term Morgagni hernia does not include or define all the hernias of the anterior part of the diaphragm. We believe they should, therefore be designated according to the location and presence or absence of a sac.
进行了一项回顾性临床研究，以评估在膈肌前部遇到的疝。20例位于膈肌前部且接受手术治疗的疝患者（14例男性，6例女性；年龄7天至7岁）组成了研究组。评估了确切位置、内容物和其他畸形情况。位置在胸骨旁的有14例，胸骨后的有6例。胸骨旁位置中，右侧11例，左侧2例，1例为双侧。3例患者患有21三体综合征。所有病例均有疝囊，其中12例疝囊内包含结肠。1例胸骨后位置的患者也患有21三体综合征。胸骨后疝患者也有疝囊，结肠是最常包含的脏器。在本系列病例中，未遇到心包内疝或前内侧缺损。将本系列病例与先前报道的患者进行比较表明，膈肌前部在其不同位置存在各种先天性疝。根据确切位置以及疝囊的有无，该区域会出现四种不同类型的疝：有疝囊的胸骨后疝、心包内疝以及单侧或双侧受累的胸骨旁疝和前内侧疝。由于区分出了四种不同的疝，因此莫尔加尼疝这一术语并未涵盖或定义膈肌前部的所有疝。我们认为，因此应根据位置以及疝囊的有无来对它们进行命名。
