Vaos George, Skondras Constantinos
Second Department of Paediatric Surgery, P. and A. Kyriakou Children's Hospital, 11527 Athens, Greece.
J Pediatr Surg. 2006 Mar;41(3):589-91. doi: 10.1016/j.jpedsurg.2005.11.063.
Postoperative bowel obstruction complicating a recurrent Morgagni's hernia (MH) is an uncommon condition and hence the presentation. Nonspecific symptoms and misleading radiologic image may result in misdiagnosis and severe complications. We report the case of a child with a transverse colon necrosis because of strangulation in a misdiagnosed recurrent MH. The child presented with bowel obstruction and repeated chest infections. Colonic necrosis could be avoided by timely diagnosis and repair of MH. This severe and rare occurrence complicating a recurrent MH should be kept in mind in children with respiratory tract infections and vomiting.
复发性莫尔加尼疝（MH）并发术后肠梗阻是一种罕见的病症，其临床表现亦是如此。非特异性症状和具有误导性的影像学表现可能导致误诊及严重并发症。我们报告一例因误诊复发性MH导致横结肠绞窄坏死的患儿病例。该患儿表现为肠梗阻及反复的胸部感染。及时诊断并修复MH可避免结肠坏死。对于有呼吸道感染和呕吐症状的儿童，应牢记这种复发性MH并发的严重且罕见的情况。
