Nishida Tsutomu, Karamatsu Shouji, Mitsui Takamori, Sugiura Hironori, Takashima Nobuhiro, Nakamae Katsumi
Department of Surgery, Toyokawa Municipal Hospital, Toyokawa, Japan.
Kyobu Geka. 2010 Feb;63(2):160-3.
An 84-year-old woman visited a local clinic with the complaint of upper abdominal pain and was referred to our hospital because of a suspected mediastinal tumor. Chest and abdominal computed tomography (CT) scanning were performed and Morgagni's hernia that contained omentum was identified on multiplanar reconstruction (MPR) images. Repair surgery was performed via mini-thoracotomy with thoracoscopy. The omentum witch was adherent to the hernial sac in the thorax was carefully dissected and was replaced in the abdomen. The diaphragmatic defect was closed and was reinforced with an expanded proline mesh patch. The thoracoscopic surgery with mini-thoracotomy can be a safe and effective method for repairing a Morgagni's hernia of which contents are thought to be omentum and when intrathoracic adhesions in the hernial sac are suspected.
一名84岁女性因上腹部疼痛前往当地诊所就诊，因疑似纵隔肿瘤被转诊至我院。进行了胸部和腹部计算机断层扫描（CT），在多平面重建（MPR）图像上发现了包含大网膜的莫尔加尼疝。通过胸腔镜辅助小切口开胸手术进行修复手术。仔细分离胸腔内与疝囊粘连的大网膜，并将其还纳至腹腔。封闭膈肌缺损，并用膨体脯氨酸网片加强。对于内容物被认为是大网膜且怀疑疝囊内有胸腔内粘连的莫尔加尼疝，胸腔镜辅助小切口开胸手术可能是一种安全有效的修复方法。
