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Elective Laparoscopic Repair after Colonoscopic Decompression for Incarcerated Morgagni Hernia

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초록

Plain radiographs of an 88-year-old woman who had experienced vomiting and abdominal distention for 3 days revealed a severely obstructed ileus, and abdominopelvic computed tomography revealed an incarcerated Morgagni hernia. The endoscope was passed through the constrictions from the diaphragmatic indentations and a thin catheter was placed for decompression. The obstructive ileus regressed markedly after the procedure; the patient underwent elective laparoscopic repair of the hernia 1 week later. This is believed to be the first case of endoscopic preoperative decompression for an incarcerated Morgagni hernia.

Abstract

Plain radiographs of an 88-year-old woman who had experienced vomiting and abdominal distention for 3 days revealed a severely obstructed ileus, and abdominopelvic computed tomography revealed an incarcerated Morgagni hernia. The endoscope was passed through the constrictions from the diaphragmatic indentations and a thin catheter was placed for decompression. The obstructive ileus regressed markedly after the procedure; the patient underwent elective laparoscopic repair of the hernia 1 week later. This is believed to be the first case of endoscopic preoperative decompression for an incarcerated Morgagni hernia.

참고문헌 (5)

  1. Biondo S, "Large bowel obstruction: predictive factors for postoperative mortality", Dis Colon Rectum, 47, pp.1889~1897 (2004)
  2. Alvarez JA, "Presentation, treatment, and multivariate analysis of risk factors for obstructive and perforative colorectal carcinoma", Am J Surg, 190, pp.376~382 (2005)
  3. Nguyen T, "The laparoscopic approach for repair of Morgagni hernias", JSLS, 2, pp.85~88 (1998)
  4. Yilmaz M, "Transabdominal approach in the surgical management of Morgagni hernia", Surg Today, 37, pp.9~13 (2007)
  5. Targownik LE, "Colonic stent vs. emergency surgery for management of acute left-sided malignant colonic obstruction: a decision analysis", Gastrointest Endosc, 60, pp.865~874 (2004)

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