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一名老年患者出现有症状的双侧 Morgagni 型膈疝。

Symptomatic bilateral Morgagni diaphragmatic hernias in an elderly patient.

作者信息

O'Brien Cathal, Jobling J Craig

机构信息

Department of Radiology, Nottingham University Hospitals NHS Trust, Nottingham, UK.

出版信息

BJR Case Rep. 2017 Mar 10;3(3):20160110. doi: 10.1259/bjrcr.20160110. eCollection 2017.

Abstract

We present a rare case of bilateral Morgagni hernias in an elderly female patient. She initially presented with coffee-ground vomiting and underwent an OGD from which she was given a diagnosis of oesophagitis. On her second presentation (a year later), CT was performed after OGD to evaluate what was thought to be a complex hiatus hernia causing haematemesis, at which point a diagnosis of bilateral Morgagni hernias was made. Surgical management with laparoscopic mesh repair was performed and she made an uneventful recovery.

摘要

我们报告了一例老年女性患者双侧 Morgagni 疝的罕见病例。她最初因咖啡渣样呕吐就诊,接受了上消化道内镜检查(OGD),被诊断为食管炎。在她第二次就诊时(一年后),在 OGD 后进行了 CT 检查,以评估被认为是导致呕血的复杂食管裂孔疝,此时诊断为双侧 Morgagni 疝。进行了腹腔镜网片修补的手术治疗,她恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d93e/6159192/21e805d37623/bjrcr.20160110.g001.jpg

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