KMID : 1188320090030040318
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Gut and Liver 2009 Volume.3 No. 4 p.318 ~ p.320
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Elective Laparoscopic Repair after Colonoscopic Decompression for Incarcerated Morgagni Hernia
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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
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Abstract
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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.
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KEYWORD
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Hernia, Diaphragmatic, Decompression, Colonoscopy
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