Assi Farah, Mecheik Ali, Zghaib Hassan, Haidar Ahmad Houssein
Infectious Diseases, Internal Medicine, Lebanese University Faculty of Medicine, Beirut, LBN.
Internal Medicine, Intensive Care, Saint George Hospital, Beirut, LBN.
Cureus. 2024 Feb 25;16(2):e54876. doi: 10.7759/cureus.54876. eCollection 2024 Feb.
Morgagni's hernia (MH) occurs when the abdominal viscera herniates into the thoracic cavity through a congenital anatomical defect in the diaphragm, termed the foramen of Morgagni. Although it is more frequently detected in childhood, its delayed presentation in adults and the elderly could be easily overlooked due to the non-specificity of its symptoms. Here, we report the case of an elderly female who presented purely with dyspnea and desaturation, necessitating admission to the intensive care unit. Her computed tomography (CT) scan revealed the presence of MH with complete lobar collapse. Laparoscopy was successful in reducing the hernia, and the patient improved with a good prognosis. Surgical treatment for MH is advised for all cases in order to prevent the occurrence of serious complications.
莫尔加尼疝(MH)是指腹腔脏器通过膈肌的先天性解剖缺陷(即莫尔加尼孔)疝入胸腔。虽然它在儿童期更常被发现,但由于其症状不具特异性,在成人和老年人中出现延迟时很容易被忽视。在此,我们报告一例老年女性病例,该患者仅表现为呼吸困难和血氧饱和度降低,需要入住重症监护病房。她的计算机断层扫描(CT)显示存在莫尔加尼疝并伴有完全性肺叶萎陷。腹腔镜手术成功地还纳了疝内容物,患者病情改善,预后良好。建议对所有莫尔加尼疝病例进行手术治疗,以预防严重并发症的发生。