대장폐색을 동반한 Morgagni 탈장 1예
A case of Morgagni hernia with intestinal obstruction
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초록
Morgagni 탈장은 주로 중년 이후에 외상, 임신, 비만 등의 복강 내압 증가에 의해 복강 내 장기들이 결손 부위로 진입하여 발생된다. 임상 증상은 상복부 불편감, 상복부팽만감, 구역 및 구토 등이 발생되는데, 본 증례는 88세 고령의 여자 환자로서 MDCT에 의해 Morgagni 탈장이 진단되었다. 그에 따라 대장 폐색이 영상으로 나타나 즉각적인 수술로 완쾌되었음을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Although Morgagni hernias are rarely symptomatic, an 88-year-old woman presented with severe abdominal pain and distension due to large bowel obstruction. The transverse colon and omentum were herniated through an anterior medial diaphragmatic defect in the right thorax. The plain abdominal X-rays indicated intestinal obstruction and the plain chest X-ray showed hazy mass-like densities. The multi-detector row computed tomography (MDCT) findings were compatible with a Morgagni hernia. This diagnosis of a Morgagni hernia was confirmed at immediate surgery.
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