Department of Surgery, Osaka Rosai Hospital, Sakai, Japan.
Department of Surgery, Rinku General Medical Center, Izumisano, Japan.
Asian J Endosc Surg. 2021 Jan;14(1):124-127. doi: 10.1111/ases.12823. Epub 2020 Jun 22.
A Morgagni hernia is a rare type of congenital diaphragmatic hernia. Here, a case of a Morgagni hernia repaired by SILS is presented. A 78-year-old woman was admitted to our hospital with nausea and vomiting. On CT, the transverse colon and antrum of the stomach were prolapsed into the right thoracic cavity. The herniated stomach was repositioned by emergency endoscopy, and SILS repair was performed electively. Laparoscopy showed the hernial orifice, which was 75 × 50 mm in diameter, on the right side and behind the sternum. Although the transverse colon had herniated through the defect into the right diaphragm, it was easily reduced into the abdominal cavity. Composite mesh was sutured to cover the hernial orifice. No perioperative complications or hernia recurrence have been observed in the 8 months since the surgery.
摩根疝是一种罕见的先天性膈疝。本文报告了 1 例采用 SILS 治疗的摩根疝。1 例 78 岁女性因恶心呕吐就诊。CT 提示横结肠和胃窦疝入右侧胸腔。急诊胃镜将疝入胃复位，择期行 SILS 修补。腹腔镜下见胸骨右侧和后缘有 75×50mm 疝口。虽然横结肠通过缺损疝入右侧膈肌，但很容易还纳至腹腔。复合补片缝合覆盖疝口。术后 8 个月无围手术期并发症或疝复发。
