Solunum arrestine neden olan morgagni hernisi olgusu
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Dosyalar
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Morgagni hernisi tüm diafragma hernileri içinde %3-4 oranında görülür. Plöroperitoneal membran defektinden gelişir. En sık omentum, sıklıkla kolon, nadiren de ince barsak ve mide herniasyonu izlenir. 53 yaşında erkek hasta anemi ve nefes darlığı nedeniyle incelendiği sırada solunum arresti gelişmesi üzerine entübe edilerek yoğun bakım ünitesinde tedavi altına alındı. Radyolojik incelemede özellikle sağda olmak üzere bilateral dev diafram hernisi olduğu izlendi. Laparotomi yapıldığında ağırlıklı sağda olmak üzere çekum, çıkan kolon, transvers kolon, appendiks, omentum ve ince barsakların bir bölümünün herniye olduğu görüldü. Primer diafram onarımı+sağ hemikolektomi+uçuca ileotransversostomi uygulandı. Solunum arrestine yol açan dev herni olması nedeniyle olguyu sunduk.
Morgagni’s hernia is seen at a rate of 3-4% among all diaphragmatic hernias. It develops from a defect in the pleuroperitoneal membrane. Herniation of the omentum is seen most commonly, that of the colon frequently, and herniation of small bowel and stomach is seen rarely. When being examined due to anemia and dyspnea, a 53-year-old male patient suffered from a respiratory arrest and was hence intubated and placed under treatment at the intensive care unit. On radiological examination, a giant diaphragmatic hernia was observed bilaterally, more marked on the right side. On laparotomy, especially on the right side, the caecum, the ascending colon, the transverse colon, the appendix, the omentum and part of the small bowel was seen to be herniated. Primary diaphragmatic repair + right hemicolectomy + end-to-end ileo-transversostomy was performed. We have reported this case because it was a giant hernia which caused respiratory arrest.
Morgagni’s hernia is seen at a rate of 3-4% among all diaphragmatic hernias. It develops from a defect in the pleuroperitoneal membrane. Herniation of the omentum is seen most commonly, that of the colon frequently, and herniation of small bowel and stomach is seen rarely. When being examined due to anemia and dyspnea, a 53-year-old male patient suffered from a respiratory arrest and was hence intubated and placed under treatment at the intensive care unit. On radiological examination, a giant diaphragmatic hernia was observed bilaterally, more marked on the right side. On laparotomy, especially on the right side, the caecum, the ascending colon, the transverse colon, the appendix, the omentum and part of the small bowel was seen to be herniated. Primary diaphragmatic repair + right hemicolectomy + end-to-end ileo-transversostomy was performed. We have reported this case because it was a giant hernia which caused respiratory arrest.
Açıklama
Anahtar Kelimeler
Morgagni Hernisi, Acil Cerrahi, Abdominal Cerrahi, Morgagni Hernia, Emergency Surgery, Abdominal Surgery
Kaynak
Journal of Clinical and Analytical Medicine
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
2
Sayı
2
