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[ Morgagni疝的心脏表现——一例报告]

[Cardiac manifestation of Morgagni hernia--a case report].

作者信息

Dybała Andrzej, Celiński Rafał, Grzywa-Celińska Anna, Popczak Grzegorz, Pietraszek-Mamcarz Jolanta, Mysliński Wojciech, Mosiewicz Jerzy, Rymarz Ewa, Krupski Witold

机构信息

Uniwersytet Medyczny w Lublinie, Katedra i Klinika Chorób Wewnetrznych.

出版信息

Pol Merkur Lekarski. 2010 Oct;29(172):255-8.

Abstract

The Morgagni hernia is a rare condition caused by the disturbances in the embryonal development of the diaphragm. The high pressure in the abdominal cavity during the persistent constipations or in pregnant women seems to be important predisposing factor apart from advanced age, obesity, vertebral column deformities and the connective tissue diseases. That is why the Morgagni hernia is very rarely diagnosed in children but usually in women in their fifties. We present the case report of our patent who was admitted to the Department of Internal Diseases for the diagnostics of lasting for 3-4 months weakness, chest pains and the episodes of palpitations. During her stay in our Department the routine chest X-ray examination was performed, that showed the unexpected result. The diagnosis of Morgagni hernia was afterwards confirmed in the computed tomography. Even though the risk of the acute abdominal conditions in the dislocated parts of gastro-intestinal tract our patient did not agree to proposed operation.

摘要

Morgagni疝是一种由膈肌胚胎发育紊乱引起的罕见病症。除了高龄、肥胖、脊柱畸形和结缔组织疾病外,持续便秘期间或孕妇腹腔内的高压似乎是重要的诱发因素。这就是为什么Morgagni疝在儿童中很少被诊断出来,而通常在五十多岁的女性中被诊断出来。我们报告了一位患者的病例,该患者因持续3 - 4个月的虚弱、胸痛和心悸发作而入住内科进行诊断。在她住院期间,进行了常规胸部X光检查,结果出人意料。随后的计算机断层扫描证实了Morgagni疝的诊断。尽管胃肠道脱位部位存在急性腹部疾病的风险,但我们的患者不同意建议的手术。

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