Morgagni孔ヘルニア内に1型胃癌を認めた1例

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  • A CASE OF MORGAGNI'S HERNIA WITH ADVANCED GASTRIC CANCER IN THE HERNIATED STOMACH

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A 91-year-old woman was referred to our hospital because of nausea and vomiting in December 2005. A chest X-ray showed a diaphragmatic hernia and a gastrointestinal tract gas shadow in the right thoracic cavity. CT scan disclosed prolapse of the gastric antrum, omentum and transverse colon via a Morgagni's hernia. An upper gastrointestinal endoscopy revealed a type 1 gastric cancer in the herniated stomach. We made a diagnosis of digestive tract obstruction due to gastric cancer in a Morgagni's hernia, and an operation was performed with an abdominal approach in January 2006. The herniated organs were returned to the abdominal cavity and the hiatus was closed by knotted sutures. The cancer was resected by distal gastrectomy. Morgagni's hernias with cancer in herniated organs are very rare and a literature review revealed that only two cases have been reported in Japan.

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