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成人巨大莫尔加尼疝的延迟表现。

Late presentation of a large Morgagni hernia in an adult.

作者信息

Marinceu Delia, Loubani Mahmoud, O'Grady Helen

机构信息

Department of Cardiothoracic Surgery, Castle Hill Hospital, Cottingham, UK.

出版信息

BMJ Case Rep. 2014 Jan 15;2014:bcr2013202440. doi: 10.1136/bcr-2013-202440.

Abstract

A 57-year-old man with no medical history and comorbidities presented to the outpatient clinic with a 2-week history of increasing cough and shortness of breath following a recent viral upper respiratory tract infection. Chest X-ray showed increased mediastinal opacity. A CT scan of the thorax was performed which revealed a large right-sided diaphragmatic hernia extending across the mediastinum to the left side of the chest. Repair was performed via combined transthoracic and transabdominal approaches.

摘要

一名57岁男性,无病史及合并症,近期病毒性上呼吸道感染后出现咳嗽加重和气短2周,遂前往门诊就诊。胸部X线显示纵隔opacity增加。进行了胸部CT扫描,结果显示一个巨大的右侧膈疝,延伸穿过纵隔至胸部左侧。通过经胸和经腹联合入路进行了修复。 (注:原文中“opacity”未明确具体含义,可能是“模糊影”之类的医学影像表现术语,这里直接保留英文未翻译)

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