Sharma Aditya, Khanna Rahul, Panigrahy Panchanana, Meena Ram Niwas, Mishra Shashi Prakash, Khanna Seema
Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, IND.
Cureus. 2023 Jul 30;15(7):e42676. doi: 10.7759/cureus.42676. eCollection 2023 Jul.
Morgagni hernia is one of the congenital diaphragmatic hernias, but it can also occur in adults. It usually manifests in childhood, but in rare cases, it may also present in adults. It is linked to a congenital defect during the embryological development of the diaphragm. Uncommon diaphragmatic hernias, also called the foramen of Morgagni hernias, often affect the right side and are found in the anterior mediastinum. Typically asymptomatic in adult patients, the foramen of Morgagni hernia is linked to obesity, trauma, or other causes of elevated intraabdominal pressure. Diagnostic aids include plain pulmonary roentgenograms, contrast-enhanced radiographic investigations of the gastrointestinal tract, computerised tomography, and magnetic resonance imaging tests. We report a rare case of an 85-year-old female with a Morgagni hernia that was incidentally detected on a chest X-ray and was managed successfully.
莫尔加尼疝是先天性膈疝的一种，但也可发生于成年人。它通常在儿童期出现，但在罕见情况下，也可能在成人中出现。它与膈肌胚胎发育过程中的先天性缺陷有关。罕见的膈疝，也称为莫尔加尼孔疝，常累及右侧，位于前纵隔。莫尔加尼孔疝在成年患者中通常无症状，与肥胖、创伤或其他导致腹内压升高的原因有关。诊断辅助手段包括胸部X线平片、胃肠道造影增强影像学检查、计算机断层扫描和磁共振成像检查。我们报告一例罕见病例，一名85岁女性，在胸部X线检查时偶然发现莫尔加尼疝，并成功进行了治疗。
