Eroğlu A, Kürkçüoğlu I Can, Karaoğlanoğlu N, Yilmaz O
Atatürk University, Medical Faculty, Department Of Thoracic Surgery, Erzurum, Turkey.
Dis Esophagus. 2003;16(2):151-3. doi: 10.1046/j.1442-2050.2003.00315.x.
Paraesophageal hiatal hernia is an uncommon condition that requires urgent correction to prevent life-threatening complications. It is present in 14% of all hiatal hernias. The incidence of Morgagni hernia among all diaphragmatic defects is 3-4% and about 90% of the hernias occur on the right, 8% are bilateral and 2% are on the left. The combination of a Morgagni hernia and paraesophageal hernia is very rare and only four cases have been reported in the literature. All of them occurred in the right. This report describes an old case admitted to our clinic with dyspnea, chest pain and chronic gastrointestinal symptoms, found to have combined left Morgagni and paraesophageal hernia. Surgical repair was performed via transabdominal approach. This unusual case and surgical approaches are discussed in light of the data presented in the literature.
食管旁裂孔疝是一种罕见疾病，需要紧急矫正以预防危及生命的并发症。它占所有裂孔疝的14%。在所有膈疝中， Morgagni疝的发生率为3% - 4%，约90%的疝发生在右侧，8%为双侧，2%在左侧。Morgagni疝与食管旁疝合并的情况非常罕见，文献中仅报道过4例。所有这些病例均发生在右侧。本报告描述了一名老年患者，因呼吸困难、胸痛和慢性胃肠道症状入住我院，检查发现合并左侧Morgagni疝和食管旁疝。通过经腹途径进行了手术修复。结合文献中的数据对这一罕见病例及手术方法进行了讨论。
