Hashmi Muhammad Usman, Ullah Kaleem, Tariq Ayesha, Sarwar Mohsin, Khan Iftikhar H
Surgery, Shifa College of Medicine, Islamabad, PAK.
Thoracic Surgery, Nishtar Medical University Hospital, Multan, PAK.
Cureus. 2019 Feb 7;11(2):e4035. doi: 10.7759/cureus.4035.
Morgagni-Larrey hernia is an exceedingly rare presentation of congenital diaphragmatic hernia. Despite its rarity, it is associated with significant risk of morbidity and mortality. Herein, we describe a unique case report of an elderly woman who presented with left-sided chest pain, dyspnea, and chronic history of recurrent respiratory tract infections. On the basis of her medical history, general physical examination and imaging studies, she was operated for a presumptive diagnosis of thymolipoma. However, the intra-operative findings revealed that it was an unusual variant of a diaphragmatic hernia and the hernia sac appeared through the retrosternal foramen of Morgagni. Hence we concluded that it was a Morgagni-Larrey hernia compressing the lungs and heart. Consequently, the hernia was reduced and the defect was repaired. During the postoperative period, the patient had an uneventful recovery. To conclude, the possibility of a Morgagni-Larrey hernia should be strongly considered while evaluating a patient with recurrent chest infections, dyspnea, and vague chest pain.
莫尔加尼-拉雷疝是先天性膈疝一种极其罕见的表现形式。尽管其罕见，但它与显著的发病和死亡风险相关。在此，我们描述了一例独特的病例报告，一名老年女性出现左侧胸痛、呼吸困难以及反复呼吸道感染的慢性病史。根据她的病史、全身体格检查和影像学检查结果，她接受了手术，初步诊断为胸腺脂肪瘤。然而，术中发现这是一种不寻常的膈疝变异型，疝囊通过莫尔加尼胸骨后孔出现。因此我们得出结论，这是一例压迫肺部和心脏的莫尔加尼-拉雷疝。随后，疝被还纳，缺损被修复。术后，患者恢复顺利。总之，在评估患有反复胸部感染、呼吸困难和不明原因胸痛的患者时，应强烈考虑莫尔加尼-拉雷疝的可能性。
