Appendicitis within Morgagni Hernia and simultaneous Paraesophageal Hernia

作者：Bettini Anna; Ulloa Jesus G^*; Harris Hobart

来源：BMC Surgery, 2015, 15(1): 15.

DOI：10.1186/1471-2482-15-15

• Morgagni
• Paraesophageal
• Defect and appendicitis

Background: Morgagni hernia is a congenital diaphragmatic defect that rarely presents with symptomatic findings in adults. The presence of one diaphragmatic defect may decrease the occurrence of a separate diaphragmatic defect. Appendicitis may be a unique presentation of incarcerated bowel in a Morgagni defect.
Case presentation: Review of recent literature and presentation of a patient with Morgagni defect. Only five cases of simultaneous Morgagni hernia and paraesophageal hernia have been described in the English-language literature since 1958. Here, we report the first case of acute appendicitis within an incarcerated right Morgagni hernia in a 76-year-old patient who also had a paraesophageal hernia.
Conclusion: This case illustrates that there is no role for watchful waiting in the management of Morgagni Defects when diagnosed in adult patients.

• 出版日期2015-2-2