完全内臓逆位症を伴ったMorgagni孔ヘルニアの1治験例

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  • A CASE OF MORGAGNI HERNIA ASSOCIATED WITH SITUS INVERSUS

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A 72-year-old female was admitted to the hospital because of upper abdominal pain and vomiting.<br> A chest plain film demonstrated dextrocardia and bowel gas at the left phrenic o-costal angle. An upper GI barium series and barium enema revealed that the antrum portion of the stomach and transverse colon were incarcerated in the left thoracic cavity.<br> Surgery was carried out using the trans abdominal approach.<br> The operative findings included that the hernia sac contained the greater omentun, stomach and transverse colon; and that the liver and gallbladder were found in the left side of the abdominal cavity, the spleen was in the right side of it. Moregagni hernia has been reported in around 3% of all diaphrag-matic hernias, but we could not find any literature concerning this disease associated with situs inversus.<br> The most valuable diagnostic approaches were chest X-ray, CT, or MRI scan and barium GI series.<br> She was discharged in satisfactory condition on the 14th postoperative day uneventfully.

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