The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;76(4):481-484.
대장폐색을 동반한 Morgagni 탈장 1예
왕길상, 조현근, 김정훈, 김명환, 박인서, 박재균, 김미성
A case of Morgagni hernia with intestinal obstruction
Kil Sang Wang, Hyeon Geun Cho, Jeong Hun Kim, Myoung Hwan Kim, In Suh Park, Jea Kun Park, Mi Sung Kim


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. (Korean J Med 76:481- 484, 2009)

Keywords :Diaphragmatic hernia, Computed tomography, Intestinal obstruction
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