A CASE OF MORGAGNI HERNIA PROLAPSED WITH THE STOMACH AND TRANSVERSE COLON

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  • 胃および横行結腸を内容としたMorgagni孔ヘルニアの1例

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Abstract

Among diaphragmatic hernias, relatively rare Morgagni hernia in a patient is reported, together with a review of the literature. A 71-year-old woman complained of nausea and vomiting. Chest rentogenogram, gastrointestinal series, barium enema and chest CT showed the righ-sided Morgagni hernia prolapsed with the stomach and transverse colon. Herniorrhapy was performed by abdominal approach. Two hundred and fifty-three cases of Morgagni hernia were reported in the Japanese literature until 1989, comprising of 64 males and 179 females except for 10 cases with unknown sexuality. The disease was common in an age group under 6 or over 51 years old, and was predominant in females (males versus females: 1 vs. 2 and more). With respect to hernia contents, the great omentum was common and followed by the transverse colon, small intestine and liver. Only 14 cases, with had hernia contents of the stomach and transverse colon like this case, have been reported and the majority of the cases involved older females. Chest CT is useful for qualitative diagnosis when the hernia content is the great omentum. Transabdominal approach is recommended when the preoperative diagnosis can be made as Morgagni hernia.

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