Foramen of Morgagni Hernia in Infant |
Byung W ook Kim, Poong Man Lee, Kyong Su Lee |
Departmeηt of Pediatrics, Catholic Medical College, Seoul, Korea |
Morgagni 공을 통한 선천성 횡격막 탈장증 1 예 |
김병욱, 이풍만, 이경수 |
가톨릭의과대학 소아과학교실 |
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Abstract |
Morgagni hernia is an uncommon finding in adult and rarer still in infants and children,
and they say that Morgagni hernia occur about one in every 300 diaphragmatic hernias diagnosed.
This paper presents a 16 months oId Korean male infant with symptomatic Morgagni’ s hernia
in whom the diagnosis was established during the course of treatment of upper respiratory
tract infection and who were operated successfuIIy.
This weII nourished patient was admitted with the chief complaints of mild dyspnea, coughing
and restIessness for 2 days. During treatment and investigation we detected a peristaltic
sound in the right side Iung field and confirmed it as Morgagni hernia by chest X-ray and
barium swaIIowing.
We performed corrective surgery through a midline supra-umbilicaI incision. As opened the
peritoneum, transverse colon was gushed out, which suspected as herniated intestinaI Iòop.
After well mobilization of visible boweI, hernia sac was notified from the anterior portion
of right crus of diaphragm. The hernia was reduced very easily.
The patient made an uninterrupted recovery and on the 8th post-op. day, he went to home
with symptom-free state.
We made a brief literature review.
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