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KMID : 1188320090030040318
Gut and Liver
2009 Volume.3 No. 4 p.318 ~ p.320
Elective Laparoscopic Repair after Colonoscopic Decompression for Incarcerated Morgagni Hernia
Kim Hyoung-Ran

Hong Tae-Ho
Lee Yun-Seok
Kim Jin-Jo
Lee Bo-In
Lee Keun-Ho
Oh Se-Jeong
Park Seung-Man
Kim Young-Ha
Abstract
Plain radiographs of an 88-year-old woman who had experienced vomiting and abdominal distention for 3 days revealed a severely obstructed ileus, and abdominopelvic computed tomography revealed an incarcerated Morgagni hernia. The endoscope was passed through the constrictions from the diaphragmatic indentations and a thin catheter was placed for decompression. The obstructive ileus regressed markedly after the procedure; the patient underwent elective laparoscopic repair of the hernia 1 week later. This is believed to be the first case of endoscopic preoperative decompression for an incarcerated Morgagni hernia.
KEYWORD
Hernia, Diaphragmatic, Decompression, Colonoscopy
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