Mardani Parviz, Dalfardi Farzad, Bahmani Saman, Rahmati Rahem, Zarimeidani Fatemeh, Ziaian Bizhan, Amirian Armin, Vafabin Masoud, Shahriarirad Reza
Thoracic and Vascular Surgery Research Center Shiraz University of Medical Science Shiraz Iran.
Students Research Committee Shahrekord University of Medical Sciences Shahrekord Iran.
Health Sci Rep. 2024 Dec 9;7(12):e70248. doi: 10.1002/hsr2.70248. eCollection 2024 Dec.
Morgagni hernias are rare congenital diaphragmatic defects that can lead to bowel obstruction and incarceration if not repaired. While this disease typically manifests as respiratory distress, frequent respiratory infections, and infant growth failure, it can sometimes be accidentally discovered in adulthood through cross-sectional imaging. We aimed to report our experience managing this entity during 20 years at our referral center.
A retrospective chart review was performed of adult patients diagnosed with Morgagni diaphragmatic hernia who underwent surgery at Shiraz University of Medical Sciences in two main referral hospitals between 2002 and 2022. Patients' demographic and clinical data, including surgical features and hospitalization, course were extracted and subsequently analyzed.
Seventeen patients, including three men and 14 women, with an age range of 26 to 92 years (average age 61.5 years), were diagnosed with Morgagni diaphragmatic hernia. Three patients had left-sided hernias, and 14 had right-sided hernias. The most common clinical manifestations were shortness of breath and abdominal pain. The most commonly herniated contents were the omentum and colon. All patients underwent laparotomy, and the hernia sac was removed in 11 patients.
Morgagni is a rare congenital diaphragmatic hernia usually diagnosed incidentally. Laparoscopic repair has high success rates and is a viable option for patients with this pathology.
莫尔加尼疝是一种罕见的先天性膈肌缺损，如果不进行修复，可能导致肠梗阻和嵌顿。虽然这种疾病通常表现为呼吸窘迫、频繁的呼吸道感染和婴儿生长发育迟缓，但有时也可能在成年期通过横断面成像意外发现。我们旨在报告我们在转诊中心20年期间管理这种疾病的经验。
对2002年至2022年期间在设拉子医科大学两所主要转诊医院接受手术的诊断为莫尔加尼膈肌疝的成年患者进行回顾性病历审查。提取患者的人口统计学和临床数据，包括手术特征和住院治疗过程，随后进行分析。
17例患者被诊断为莫尔加尼膈肌疝，其中男性3例，女性14例，年龄范围为26至92岁（平均年龄61.5岁）。3例患者为左侧疝，14例为右侧疝。最常见的临床表现是呼吸急促和腹痛。最常见的疝内容物是大网膜和结肠。所有患者均接受了剖腹手术，11例患者切除了疝囊。
莫尔加尼疝是一种罕见的先天性膈肌疝，通常为偶然诊断。腹腔镜修复成功率高，是患有这种疾病的患者的可行选择。
