Department of General Surgery, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.
Department of Gynecology, School of Medicine, Ibb University of Medical Science, Ibb, Yemen.
Pan Afr Med J. 2022 Jan 17;41:42. doi: 10.11604/pamj.2022.41.42.32763. eCollection 2022.
Diaphragmatic hernia is a structural defect caused by inadequate fusion of the pleuroperitoneal membrane of the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. The occurrence of Morgagni hernia in the adult is infrequent and almost asymptomatic. Symptomatic cases are even rarer, with a wide range of respiratory and gastrointestinal manifestations that make it difficult to diagnose. We present the case of a 70-year-old man with unexpected onset abdominal pain and respiratory distress. The chest computed tomography scan showed the right-side diaphragmatic Morgagni hernia. The defect was corrected through open surgical repair without complications. Within five months of the procedure, a follow-up radiograph revealed full recovery. This case should alert physicians to consider this diagnosis when faced with an unexpected manifestation of Morgagni hernia.
膈疝是一种结构性缺陷，由膈的胸膜腹膜融合不全引起，导致腹膜内脏突出到胸腔。成人摩根疝的发生率较低，几乎无症状。有症状的病例更为罕见，有广泛的呼吸和胃肠道表现，使诊断变得困难。我们报告了一例 70 岁男性，突发腹痛和呼吸窘迫。胸部 CT 扫描显示右侧膈摩根疝。该缺陷通过开放式手术修复得到纠正，无并发症。术后五个月，随访 X 光片显示完全恢复。当遇到摩根疝的意外表现时，这个病例应该提醒医生考虑这个诊断。
