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成人迟发性莫尔加尼疝:内科治疗与外科治疗

Adult Onset Morgagni Hernia: Medical vs. Surgical Management.

作者信息

Elfiky Ahmed, Daneshvar Danial, Krzyzak Michael, Mukherjee Indraneil

机构信息

Internal Medicine, Northwell Health-Staten Island University Hospital, New York, USA.

Surgery, Northwell Health-Staten Island University Hospital, New York, USA.

出版信息

Cureus. 2019 May 9;11(5):e4626. doi: 10.7759/cureus.4626.

DOI:10.7759/cureus.4626
PMID:31312552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6615577/
Abstract

Morgagni hernia is a type of diaphragmatic hernia where bowel content herniates through an irregular opening into the thoracic cavity. Herein, we present the case of an 84-year-old female patient with multiple hospital admissions for abdominal symptoms. Radiological studies confirmed Morgagni hernia. She underwent a laparoscopic intervention with mesh placement. She was discharged in stable condition and was doing well on follow-up.

摘要

莫尔加尼疝是一种膈疝,肠道内容物通过不规则开口疝入胸腔。在此,我们报告一例84岁女性患者,因腹部症状多次住院。影像学检查确诊为莫尔加尼疝。她接受了腹腔镜手术并放置了补片。她出院时情况稳定,随访情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/0ce4360313fc/cureus-0011-00000004626-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/5590a0736748/cureus-0011-00000004626-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/d160aa7d12c6/cureus-0011-00000004626-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/0557e8669968/cureus-0011-00000004626-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/0ce4360313fc/cureus-0011-00000004626-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/5590a0736748/cureus-0011-00000004626-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/d160aa7d12c6/cureus-0011-00000004626-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/0557e8669968/cureus-0011-00000004626-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f76/6615577/0ce4360313fc/cureus-0011-00000004626-i04.jpg

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本文引用的文献

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Morgagni Hernia Repair: A Review.莫尔加尼疝修补术:综述
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2
An Incidental Discovery of Morgagni Hernia in an Elderly Patient Presented with Chronic Dyspepsia.一名患有慢性消化不良的老年患者偶然发现 Morgagni 疝。
Korean J Gastroenterol. 2017 Jan 25;69(1):68-73. doi: 10.4166/kjg.2017.69.1.68.
3
Repair of Morgagni Hernia in Adults with Primary Closure and Mesh Placement: First Robotic Experience.成人 Morgagni 疝的一期缝合与补片置入修补术:首例机器人手术经验
肥胖症患者偶然发现的 Morgagni 疝病例报告及文献综述:修复还是不修复?
Cureus. 2023 Jun 4;15(6):e39950. doi: 10.7759/cureus.39950. eCollection 2023 Jun.
4
Morgagni hernia: an uncommon pathology in adults.莫尔加尼疝:成人中的一种罕见病症。
J Surg Case Rep. 2022 Dec 30;2022(12):rjac597. doi: 10.1093/jscr/rjac597. eCollection 2022 Dec.
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Thoracolaparoscopic repair of diaphragmatic hernias.胸腔镜辅助腹腔镜修补膈肌疝
Indian J Thorac Cardiovasc Surg. 2021 Sep;37(5):558-564. doi: 10.1007/s12055-021-01142-z. Epub 2021 Feb 13.
6
Strangulated Morgagni hernia masquerading as an acute coronary syndrome.绞窄性 Morgagni 疝表现为急性冠状动脉综合征。
BMJ Case Rep. 2021 Jul 13;14(7):e244045. doi: 10.1136/bcr-2021-244045.
J Laparoendosc Adv Surg Tech A. 2017 May;27(5):529-532. doi: 10.1089/lap.2016.0360. Epub 2016 Aug 8.
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Morgagni hernia presenting as gastric outlet obstruction in an elderly male.老年男性以胃出口梗阻为表现的 Morgagni 疝
J Surg Case Rep. 2016 Jul 18;2016(7):rjw126. doi: 10.1093/jscr/rjw126.
5
Surgical treatment of a Morgagni hernia causing intermittent gastric outlet obstruction.手术治疗导致间歇性胃出口梗阻的 Morgagni 疝。
BMJ Case Rep. 2010 Nov 5;2010:bcr0120102608. doi: 10.1136/bcr.01.2010.2608.
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A case of symptomatic Morgagni's hernia and a review of Morgagni's hernia in Japan (263 reported cases).
Hernia. 2006 Dec;10(6):521-4. doi: 10.1007/s10029-006-0123-1. Epub 2006 Aug 16.
7
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J Laparoendosc Surg. 1992 Apr;2(2):93-100. doi: 10.1089/lps.1992.2.93.