Atypical presentation of Morgagni hernia: Bowel loops in the neck

Q4 Medicine
H. Akkaya, O. Dilek, Mustafa Sert, Cenk Parlatan, B. Gülek
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引用次数: 0

Abstract

Morgagni hernia is a rare congenital anomaly caused by the fusion defect between the septum transversum and the sternum. Patients may be asymptomatic or present with respiratory symptoms, abdominal pain, retrosternal pain, abdominal fullness, or gastrointestinal obstruction. Chest X-ray and thoracic computed tomography (CT) are the most commonly used modalities in imaging.We describe an adult case in which the transverse colon was herniated from the retrosternal area to the thyroid gland without a history of trauma or surgery.A 24-year-old female patient living in the countryside presented to our hospital with the complaints of indigestion and chest pain persisting for 2 years. In the thorax CT examination of the patient, it was observed that the transverse colon had herniated to the retrosternal region and then to the neck.Most acquired anterior diaphragmatic hernias are due to blunt or penetrating traumatic injury. However, there are also case reports describing iatrogenic diaphragmatic hernias following a sternotomy performed during thoracic or cardiac surgery. In Morgagni hernia, the most frequently herniated organs are the greater omentum and transverse colon. There are also reports, albeit rarer, describing the herniation of the stomach, liver and small intestines.Morgagni hernia is a very rare type of hernia, especially in adult patients. The diagnosis of these patients can be easily made based on thoracic CT findings.
Morgagni疝的非典型表现:颈部的肠环
Morgagni疝是一种罕见的先天性异常,由横隔与胸骨之间的融合缺陷引起。患者可能无症状或出现呼吸道症状、腹痛、胸骨后疼痛、腹部充盈或胃肠道梗阻。胸部x线和胸部计算机断层扫描(CT)是最常用的成像方式。我们描述了一个成人病例,横结肠从胸骨后区域疝到甲状腺,没有外伤或手术史。一名24岁的农村女性患者以消化不良、胸痛持续2年来我院就诊。在患者的胸部CT检查中,发现横结肠已经疝到胸骨后区,然后到颈部。大多数获得性前膈疝是由于钝性或穿透性创伤所致。然而,也有病例报告描述了胸或心脏手术中胸骨切开术后的医源性膈疝。在Morgagni疝中,最常见的器官是大网膜和横结肠。虽然比较罕见,但也有关于胃、肝和小肠疝的报道。Morgagni疝是一种非常罕见的疝类型,尤其是在成人患者中。这些患者的诊断很容易根据胸部CT表现做出。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Polish Annals of Medicine
Polish Annals of Medicine Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
28
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