Berman L, Stringer D, Ein S H, Shandling B
Department of Radiology, Hospital for Sick Children, Toronto, Ontario, Canada.
J Pediatr Surg. 1989 Oct;24(10):970-2. doi: 10.1016/s0022-3468(89)80193-9.
Data concerning 15 infants and children with late-presenting (more than 8 weeks) Morgagni hernias over the last 20 years (1966 to 1986) have been reviewed. Ten of the cases were clinically normal on presentation, and the most common symptoms and signs were gastrointestinal and respiratory. Only one child presented with acute symptoms. Five had previously normal chest x-rays, and two others had an incorrect initial radiologic assessment. Chest x-ray was the most common diagnostic test; preoperative barium studies were performed in three patients. Twelve patients had other major congenital abnormalities. Fourteen of the 15 had surgery, usually within days of presentation. At operation, 10 of the 14 hernias contained a hollow viscus, nine had a sac, and four had abnormal bowel fixation. Postoperatively, two children had radiologic evidence of impaired diaphragmatic motility. There was no mortality in this series. Overall, late-presenting Morgagni hernias are relatively benign.
回顾了过去20年（1966年至1986年）15例迟发性（超过8周）莫尔加尼疝患儿的资料。10例患儿初诊时临床症状正常，最常见的症状和体征为胃肠道和呼吸系统症状。仅1例患儿表现为急性症状。5例患儿此前胸部X线检查正常，另外2例最初的放射学评估有误。胸部X线检查是最常用的诊断方法；3例患者术前行钡剂造影检查。12例患者合并其他主要先天性异常。15例中有14例接受了手术，通常在就诊数天内进行。手术时，14例疝中有10例包含中空脏器，9例有疝囊，4例肠管固定异常。术后，2例患儿有膈肌运动功能受损的放射学证据。本系列无死亡病例。总体而言，迟发性莫尔加尼疝相对良性。
