Suppr超能文献

成人先天性右侧 Morgagni 疝——病例报告

Congenital Right Morgagni Hernia Presenting in an Adult-a Case Report.

作者信息

Pillai Sastha Ahanatha, Chinnappan Santhanakrishnan

机构信息

Department of Surgical Gastroenterology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamilnadu India ; Surakksha Multispecialty Hospital, 264/148, Cherry Road, Near Mulluvadi Gate, Salem, 636001 India.

Department of Anaesthesiology, Government Mohan Kumaramangalam Medical College Hospital, Salem, Tamilnadu India ; Surakksha Multispecialty Hospital, 264/148, Cherry Road, Near Mulluvadi Gate, Salem, 636001 India.

出版信息

Indian J Surg. 2016 Jun;78(3):238-40. doi: 10.1007/s12262-015-1400-y. Epub 2015 Nov 13.

Abstract

Patients with congenital diaphragmatic hernias (CDH) usually present in the neonatal period with respiratory distress. Delayed presentation of CDH in adults is rare and difficult to diagnose. We present a 42-year-old female patient who came with complaints of epigastric pain and breathlessness on exertion. X-ray and CT scan of the chest revealed a right-sided Morgagni hernia. The contents of the hernia were reduced and a primary tension free repair of the hernia defect was done through laparotomy. The postoperative course was uneventful. A strong clinical suspicion and good interpretation of radiological images help diagnose CDH which present late. Prompt surgical repair is mandatory and the outcomes are usually favorable. Primary repair is usually successful; however, mesh repair may be required for larger defects.

摘要

先天性膈疝(CDH)患者通常在新生儿期出现呼吸窘迫症状。成人CDH延迟表现罕见且难以诊断。我们报告一名42岁女性患者,她因上腹部疼痛和劳力性呼吸困难前来就诊。胸部X线和CT扫描显示右侧莫尔加尼疝。将疝内容物还纳,并通过剖腹手术对疝缺损进行了一期无张力修补。术后过程顺利。强烈的临床怀疑和对影像学图像的良好解读有助于诊断迟发性CDH。必须及时进行手术修补,且结果通常良好。一期修补通常成功;然而,对于较大的缺损可能需要使用补片修补。

相似文献

1
Congenital Right Morgagni Hernia Presenting in an Adult-a Case Report.
Indian J Surg. 2016 Jun;78(3):238-40. doi: 10.1007/s12262-015-1400-y. Epub 2015 Nov 13.
2
Congenital Morgagni hernia presenting as complete small bowel obstruction in the adult - A case report.
Int J Surg Case Rep. 2020;76:390-393. doi: 10.1016/j.ijscr.2020.10.021. Epub 2020 Oct 9.
3
Delayed presentation of a right congenital diaphragmatic hernia following left congenital diaphragmatic hernia repair in infancy.
Int J Surg Case Rep. 2023 Apr;105:108020. doi: 10.1016/j.ijscr.2023.108020. Epub 2023 Mar 21.
4
Symptomatic congenital Morgagni hernia presenting as a chest pain: a case report.
J Med Case Rep. 2020 Jan 18;14(1):13. doi: 10.1186/s13256-019-2336-9.
7
Congenital diaphragmatic hernia in patient with 1p36 deletion.
Clin Case Rep. 2024 Feb 9;12(2):e8502. doi: 10.1002/ccr3.8502. eCollection 2024 Feb.
8
Rare Right-Sided Posterolateral Diaphragmatic Hernia in an Adult Presenting as an Incarcerated Large Bowel Obstruction: A Case Report.
HCA Healthc J Med. 2024 Aug 1;5(4):483-488. doi: 10.36518/2689-0216.1735. eCollection 2024.
10
Delayed presentation of congenital diaphragmatic hernia.
Pediatr Surg Int. 2002 Sep;18(5-6):480-5. doi: 10.1007/s00383-002-0743-1. Epub 2002 Jul 31.

引用本文的文献

1
The waiting game: laparoscopic repair of dual Morgagni and paraesophageal hernias in an elderly, infirm patient.
J Surg Case Rep. 2019 Aug 5;2019(8):rjz225. doi: 10.1093/jscr/rjz225. eCollection 2019 Aug.
2
Rare right congenital diaphragmatic hernia with ileum and colon herniated into thoracic cavity in an 18-year-old adult.
Chin Med J (Engl). 2019 Mar 20;132(6):731-732. doi: 10.1097/CM9.0000000000000135.

本文引用的文献

1
Late presentation of congenital diaphragmatic hernia: a case report.
Oman Med J. 2014 May;29(3):223-5. doi: 10.5001/omj.2014.57.
3
Congenital diaphragmatic hernia: review of current concept in surgical management.
ISRN Surg. 2011;2011:974041. doi: 10.5402/2011/974041. Epub 2011 Dec 20.
4
"Fluid" shift on chest radiography: Bochdalek hernia.
CMAJ. 2010 May 18;182(8):E311-2. doi: 10.1503/cmaj.091323. Epub 2010 Apr 12.
7
Delayed presentation of congenital diaphragmatic hernia.
Pediatr Surg Int. 2002 Sep;18(5-6):480-5. doi: 10.1007/s00383-002-0743-1. Epub 2002 Jul 31.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验