关键词: children congenital diaphragmatic hernia foreign body ingestion treatment laparoscopic repair late presentation thoracoscopic surgery

来  源:   DOI:10.7759/cureus.63754   PDF(Pubmed)

Abstract:
Morgagni hernia (MH), also known as a retrosternal or parasternal hernia, is a rare type of congenital diaphragmatic hernia (CDH) characterized by a defect in the anterior diaphragm. Patients with late-diagnosed MH typically present with vague gastrointestinal or respiratory symptoms. In some instances, MH is incidentally identified through chest X-rays performed for other reasons, such as foreign body ingestion, as illustrated in our presented case. We present a case of a delayed congenital diaphragmatic hernia of the Morgagni type in a two-year-old boy with a history of foreign body ingestion and severe abdominal pain. Diagnostic imaging, including chest radiograph and computed tomography (CT) scan, confirmed the diaphragmatic defect. Surgical repair, performed laparoscopically, resulted in an uncomplicated postoperative course and a favorable long-term outcome.
摘要:
Morgagni疝(MH),也称为胸骨后或胸骨旁疝,是一种罕见的先天性膈疝(CDH),其特征是前膈缺损。晚期诊断为MH的患者通常表现为模糊的胃肠道或呼吸道症状。在某些情况下,由于其他原因,通过胸部X光检查偶然发现了MH,如异物摄入,正如我们提出的案例所示。我们介绍了一个有异物摄入和严重腹痛史的两岁男孩的Morgagni型先天性膈疝的病例。诊断成像,包括胸部X光片和计算机断层扫描(CT)扫描,证实了膈肌缺损.手术修复,腹腔镜检查,导致简单的术后过程和良好的长期结果。
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