AI Summary & Key Takeaways
AI InsightAs hernia of Morgagni always has a risk of causing severe complications, such as intestinal obstruction, it should be operated even if it is asymptomatic.
📌 3 Key Takeaways
Abstract
Hernia of Morgagni, rarely seen in adults, is a congenital herniation of the abdominal content into the thoracic cavity through a retrosternal diaphragmatic defect. We present a case of an incarcerated hernia of Morgagni in a 72-year-old woman admitted to our clinic with breathlessness and symptoms of intestinal obstruction. The diagnosis was made preoperatively by chest radiography, barium enema, and computed tomography. The herniated colon and omentum were reducted into the abdomen. The diaphragmatic defect was repaired with a mesh, following resection of the strangulated omentum. As hernia of Morgagni always has a risk of causing severe complications, such as intestinal obstruction, it should be operated even if it is asymptomatic.
Özet
Erişkinlerde nadiren görülen Morgagni hernisi, abdominal organların retrosternal diyafragmatik defekten göğüs boşluğuna konjenital herniasyonudur. Burada barsak obstruksiyonu semptomları ve nefes darlığı ile kliniğimize kabul edilen inkarsere Morgagni hernili 72 yaşında kadın hasta sunuldu. Tanı preoperatif direk radyografi, baryumlu grafi ve bilgisayarlı tomografi ile konuldu. Strangule omentumun rezeksiyonundan sonra diyafragmatik defekt prolen mesh ile kapatıldı. Morgagni hernisi barsak obstrüksiyonu gibi ciddi komplikasyonlara sebep olma riski taşıdığından, asemptomatik olsa dahi cerrahi olarak onarılmalıdır.