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绞窄性莫尔加尼疝:罕见的诊断与处理

Strangulated Morgagni's Hernia: A Rare Diagnosis and Management.

作者信息

Modi Malav, Dey Amit Kumar, Mate Ajay, Rege Samir

机构信息

Department of Surgery, Seth G.S. Medical College and KEM Hospital, Mumbai, India.

出版信息

Case Rep Surg. 2016;2016:2621383. doi: 10.1155/2016/2621383. Epub 2016 Nov 7.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf6d/5116526/673bb90f31e9/CRIS2016-2621383.001.jpg

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