关键词: gastroenterology general surgery respiratory medicine

Mesh : Humans Female Hernias, Diaphragmatic, Congenital / surgery complications diagnosis diagnostic imaging Shoulder Pain / etiology Middle Aged Laparoscopy / methods Herniorrhaphy / methods Robotic Surgical Procedures / methods Tomography, X-Ray Computed Surgical Mesh Diagnosis, Differential

来  源:   DOI:10.1136/bcr-2023-257631

Abstract:
A woman in her 60s presented to the emergency department with excruciating, deep left shoulder pain and was found to have a right-sided Morgagni hernia, a rare type of congenital diaphragmatic hernia (CDH). She did not have chest pain, palpitations, shortness of breath, cough, abdominal pain, constipation, diarrhoea, nausea, vomiting or other symptoms classically associated with CDHs in adults. Laparoscopic robotic-assisted repair with mesh placement was performed, and the patient\'s recovery was uncomplicated, with no recurrence of shoulder pain. Our patient\'s presentation was unusual due to the absence of symptoms typically seen with CDHs in adults, and the presence of contralateral, left-sided shoulder pain with a right-sided Morgagni hernia.
摘要:
一名60多岁的妇女因痛苦而被送往急诊科,左肩深疼痛,被发现患有右侧Morgagni疝,一种罕见类型的先天性膈疝(CDH)。她没有胸痛,心悸,呼吸急促,咳嗽,腹痛,便秘,腹泻,恶心,呕吐或其他与成人CDHs相关的症状。进行了腹腔镜机器人辅助修复与网状物放置,病人的康复并不复杂,无肩痛复发。我们的患者的表现是不寻常的,因为没有典型的成人CDHs症状,对侧的存在,左侧肩痛伴右侧Morgagni疝.
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