Wong N A, Dayan C M, Virjee J, Heaton K W
Bristol Royal Infirmary, UK.
Postgrad Med J. 1995 Jan;71(831):39-41. doi: 10.1136/pgmj.71.831.39.
Diaphragmatic hernias of the Morgagni type are generally thought to be asymptomatic in adults. This traditional assumption led to a delay in diagnosing a Morgagni hernia as the cause of acute respiratory distress in a chronic schizophrenic man. While Morgagni hernias are usually considered to be long-standing, we present radiological evidence of an acutely expanding hernia. The patient's symptoms were relieved by surgical repair of the hernia. We advise caution before dismissing Morgagni hernias in adults as being long-standing and clinically insignificant.
一般认为，莫尔加尼型膈疝在成人中通常无症状。这种传统观念导致一名慢性精神分裂症男性患者因急性呼吸窘迫而被诊断为莫尔加尼疝的时间延迟。虽然莫尔加尼疝通常被认为是长期存在的，但我们提供了一例疝急性扩大的影像学证据。通过手术修复疝，患者的症状得到缓解。我们建议，在将成人莫尔加尼疝视为长期存在且临床意义不大之前应谨慎。
