Modi Malav, Dey Amit Kumar, Mate Ajay, Rege Samir
Department of Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India.
Case Rep Surg. 2016;2016:2621383. doi: 10.1155/2016/2621383. Epub 2016 Nov 7.
Morgagni hernia is a rare type of congenital diaphragmatic hernia. It accounts for only 3% of all diaphragmatic hernias. The defect is small and hernia being asymptomatic in the majority presents late in adulthood. Obstruction or incarceration in Morgagni hernia is uncommon. We report a rare occurrence of strangulated Morgagni hernia. A 40-year-old gentleman presented to our emergency department with features of intestinal obstruction. Computed tomography of the chest and abdomen showed a strangulated right Morgagni hernia. An exploratory laparotomy was performed with resection of the ischemic bowel segment with anastomosis and a primary repair of the diaphragmatic defect. Postoperative recovery was uneventful and asymptomatic at follow-up.
莫尔加尼疝是一种罕见的先天性膈疝。它仅占所有膈疝的3%。缺损较小,大多数情况下疝无症状,常在成年后期才出现。莫尔加尼疝发生梗阻或嵌顿并不常见。我们报告一例罕见的绞窄性莫尔加尼疝。一名40岁男性因肠梗阻症状就诊于我们的急诊科。胸部和腹部计算机断层扫描显示为绞窄性右莫尔加尼疝。进行了剖腹探查术,切除缺血肠段并吻合,同时对膈缺损进行一期修复。术后恢复顺利,随访时无症状。