Bettini Anna, Ulloa Jesus G, Harris Hobart
UCSF Department of Surgery, University of California, 513 Parnassus Avenus, S-321, San Francisco, CA, 94143-0001, USA.
BMC Surg. 2015 Feb 2;15:15. doi: 10.1186/1471-2482-15-15.
Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.
Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.
莫尔加尼疝是一种先天性膈缺陷，在成人中很少出现有症状的表现。一个膈缺陷的存在可能会降低另一个独立膈缺陷的发生率。阑尾炎可能是莫尔加尼缺陷中肠管嵌顿的一种独特表现。
近期文献回顾及一名患有莫尔加尼缺陷患者的病例介绍。自1958年以来，英文文献中仅描述了5例同时存在莫尔加尼疝和食管旁疝的病例。在此，我们报告首例76岁患有食管旁疝且右侧莫尔加尼疝嵌顿合并急性阑尾炎的患者。
该病例表明，成人患者诊断出莫尔加尼缺陷时，观察等待在其治疗中并无作用。
