Organo-axial Rotation of the Stomach Caused by Rolling up of the Greater Omentum in a Patient with Morgagni Hernia, Sliding Hiatal Hernia and Umbilical Hernia-A Case Report

Morgagni橫膈疝氣合併滑動性裂孔疝及臍疝氣所引起之大網膜移位及胃部水平扭轉－病例報告

李明璟(Ming-Ching Lee) ； 徐中平(Chung-Ping Hsu)

《胸腔醫學》 21卷5期 (2006/10) Pp. 473-477

https://doi.org/10.29806/TM.200610.0012

摘要

Morgagni橫膈疝氣是一個少見的先天性橫膈疝氣。它通常好發在中年肥胖女性且很少伴隨著臨床的症狀。本篇報告所提出的是一位71歲女性因Morgagni橫膈疝氣引起之上消化道阻塞症狀的病例。經由上消化道鋇劑攝影檢查後發現這是因為大剛膜經由Morgagni橫膈裂孔往上嵌入胸腔之後，牽扯胃部，而造成胃部向前之水平扭轉，並在臨床上進一步造成上消化道的入口阻塞症狀。經由開腹手術將大剛膜及胃部復位並修補橫膈缺損之後，症狀改善並順利出院。

關鍵字

Morgagni橫膈疝氣 ； 胃部水平扭轉

並列摘要

Morgagni hernias are uncommon diaphragmatic hernias, which usually present late in adult life with minimal symptoms. They are always associated with a true hernia sac and are often contained within the omentum and stomach. Herein we report the case of a 71-year-old female with Morgagni hernia, sliding hiatal hernia and umbilical hernia, which revealed a rolling up of the greater omentum into the chest cavity through a right-side anterior diaphragmatic defect, causing an organo-axial rotation of the stomach, and presenting the symptoms of gastric inlet obstruction. She underwent transabdominal reduction of the greater omentum and repair of the hernia by primary closure, the patient had a rapid and uneventful recovery.

並列關鍵字

morgagni hernia ； organo-axial rotation of stomach ； diaphragmatic hernia