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表现为右中叶受压的 Morgagni 疝

Morgagni hernia presenting as a right middle lobe compression.

作者信息

Vassileva Christina M, Shabosky John, Boley Theresa, Hazelrigg Stephen

机构信息

Division of Cardiothoracic Surgery, Southern Illinois University School of Medicine, Illinois, USA.

出版信息

Ann Thorac Cardiovasc Surg. 2012;18(1):79-81. doi: 10.5761/atcs.cr.11.01690. Epub 2011 Sep 29.

Abstract

A 25-year-old woman with a history of chronic bronchitis since age 12 and 3-4 previous episodes of pneumonia presented to the emergency room with cough and shortness of breath. A CT scan of her chest revealed findings consistent with Morgagni hernia with herniation of omental fat, causing near complete compressive atelectasis of the right middle lobe. The diaphragmatic defect was successfully treated with a laparoscopic repair. The patient was discharged home on the first postoperative day after tolerating regular diet.

摘要

一名25岁女性,自12岁起患有慢性支气管炎,既往有3 - 4次肺炎发作史,因咳嗽和气短就诊于急诊室。胸部CT扫描显示结果符合 Morgagni 疝,大网膜脂肪疝出,导致右中叶几乎完全受压性肺不张。通过腹腔镜修补术成功治疗了膈肌缺损。患者术后第一天在能耐受正常饮食后出院回家。

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