Department of Surgical Sciences, Organ Transplantation and Advanced Technologies, University of Catania, Italy.
Updates Surg. 2011 Mar;63(1):55-8. doi: 10.1007/s13304-011-0045-z.
Asymptomatic Morgagni hernia can be discovered in adults as an incidental finding or because of acute gastrointestinal symptoms. We report a case of a 76-year-old man with an incidental diagnosis of seizure attack. Obesity and the increased abdominal pressure caused by abdominal muscles contraction during seizure could have contributed to the clinical presentation. The omentum, small bowel, and transverse colon were found in the right side of the chest using an open transabdominal approach. The hernia sac was excised and the diaphragmatic defect closed by direct suturing. The postoperative period was uneventful and the shortness of breath attributed to obesity disappeared.
无症状的 Morgagni 疝可在成年人中作为偶发发现，也可因急性胃肠道症状而发现。我们报告了一例 76 岁男性，其因偶发的癫痫发作而被诊断。肥胖症和癫痫发作时腹部肌肉收缩引起的腹内压增高可能促成了临床表现。采用经腹开放性入路，发现网膜、小肠和横结肠位于右侧胸腔内。疝囊被切除，通过直接缝合关闭膈肌缺损。术后情况良好，肥胖引起的呼吸急促症状消失。
