PDF(Pubmed)
Abstract：
Morgagni hernia is the rarest diaphragmatic hernia, occurring in only about 2% of all cases. Despite its infrequent presentation, it poses significant morbidity once the diagnosis is missed. We present a rare case of a young adult female with no predisposing factors who experienced dyspnea and retrosternal pain with unremarkable clinical findings. A posteroanterior view of the chest roentgenogram revealed a nonspecific triangular opacity at the right cardiophrenic angle. A computed tomography (CT) scan of the thorax confirmed the suspicion of a right anteromedial diaphragmatic defect with omental herniation. Exploratory laparoscopic primary repair of the hernia orifice was performed with non-absorbable sutures. CT helps in confirming the condition, and surgical repair is recommended. Morgagni hernia can present as asymptomatic or with respiratory symptoms. There is no consensus on the type of approach, but a minimally invasive approach is being preferred even in asymptomatic cases.
摘要：
Morgagni疝是最罕见的膈疝，仅发生在所有病例的2%左右。尽管它很少出现，一旦漏诊，就会造成严重的发病率。我们介绍了一例罕见的年轻成年女性病例，没有诱发因素，经历了呼吸困难和胸骨后疼痛，临床表现不明显。胸部X线照片的后前视图显示右心膈角的非特异性三角形不透明。胸部计算机断层扫描（CT）扫描证实怀疑右侧前内侧dial肌缺损伴网膜疝。使用不可吸收的缝线进行腹腔镜疝口的探索性初次修补术。CT有助于确认病情，建议手术修复。Morgagni疝可表现为无症状或有呼吸道症状。对方法的类型没有共识，但即使在无症状病例中，微创方法也是首选。
