Kumar A, Bhandari R S
Department of Surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Kathmandu, Nepal
Department of Surgery, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Kathmandu, Nepal.
J Surg Case Rep. 2016 Jul 18;2016(7):rjw126. doi: 10.1093/jscr/rjw126.
Morgagni hernia is the rarest of all congenital diaphragmatic hernias, first described in 1769. It is rarely symptomatic and found on routine radiological examinations for other conditions. Gastric outlet obstruction in adults with Morgagni Hernia is exceedingly rare. An 80-year-old man was taken to the operating room with a diagnosis of Morgagni hernia with gastric outlet obstruction. An upper midline laparotomy was performed, and the incarcerated pylorus and antrum of the stomach reduced with primary closure of the defect. Postoperative period was uneventful, and the patient was discharged on the sixth postoperative day. Morgagni hernia is exceedingly rare in adults and may present with gastric outlet obstruction in the emergency room. This clinical entity should be kept in mind while evaluating the patient, and early surgical intervention should be initiated.
莫尔加尼疝是所有先天性膈疝中最罕见的，于1769年首次被描述。它很少有症状，多在因其他病症进行常规放射学检查时被发现。患有莫尔加尼疝的成年人出现胃出口梗阻极为罕见。一名80岁男性因诊断为莫尔加尼疝伴胃出口梗阻被送往手术室。行上腹部正中剖腹术，嵌顿的幽门和胃窦复位，缺损处一期缝合。术后恢复顺利，患者于术后第六天出院。莫尔加尼疝在成年人中极为罕见，可能在急诊室表现为胃出口梗阻。在评估患者时应牢记这一临床情况，并应尽早进行手术干预。
