Ağalar Cihan, Atila Koray, Arslan Naciye Çiğdem, Derici Zekai Serhan, Bora Seymen
Department of General Surgery, Dokuz Eylul University School of Medicine, İzmir, Turkey.
Department of General Surgery, Istinye University School of Medicine, Istanbul, Turkey.
Turk J Surg. 2019 Dec 16;35(4):321-324. doi: 10.5578/turkjsurg.3929. eCollection 2019 Dec.
Morgagni hernia is a rare congenital anomaly arising through the fusion defect between the septum transversum and sternum. Diagnosis is usually confusing as the presentation may be asymptomatic as well as with respiratory symptoms, abdominal and/or retrosternal pain, abdominal fullness or gastrointestinal obstruction. In this paper, we discussed the clinical presentation and management of this rare situation with five consecutive cases. Between 2009 and 2015, five cases underwent surgery for Morgagni hernia (3 laparoscopic and 2 open repair); one patient had recurrent hernia after 7 months from laparoscopic surgery. This case is the first recurrence in the literature after laparoscopic repair in an adult group. In Morgagni hernias, the only treatment is surgery, which can be performed by transthoracic, transabdominal, laparoscopic or thoracoscopic approaches. The issues of using mesh and reducing the hernia sac are still controversial.
莫尔加尼疝是一种罕见的先天性异常，由横膈膜与胸骨之间的融合缺陷引起。由于其表现可能无症状，也可能伴有呼吸道症状、腹部和/或胸骨后疼痛、腹部胀满或胃肠道梗阻，因此诊断通常较为困难。在本文中，我们讨论了连续5例这种罕见情况的临床表现及处理。2009年至2015年期间，5例患者接受了莫尔加尼疝手术（3例腹腔镜手术和2例开放修补术）；1例患者在腹腔镜手术后7个月出现复发性疝。该病例是文献中成人组腹腔镜修补术后的首例复发。对于莫尔加尼疝，唯一的治疗方法是手术，可通过经胸、经腹、腹腔镜或胸腔镜途径进行。使用补片和缩小疝囊的问题仍存在争议。
