A case of combined Morgagni and esophageal hiatal hernias successfully repaired by endoscopy and laparoscopy

  • KAWASAKI Hiroko
    Department of Gastroenterology, Nagasaki Kawatana Medical Center Department of Gastroenterology and Hepatology, Japanese Red Cross Nagasaki Genbaku Hospital
  • UEKI Toshihito
    Department of Gastroenterology, Nagasaki Kawatana Medical Center
  • TETSUO Tomoyuki
    Department of Surgery, Nagasaki Kawatana Medical Center
  • TERADA Ryusuke
    Department of Surgery, Nagasaki Kawatana Medical Center
  • MIYASHITA Kousei
    Department of Surgery, Nagasaki Kawatana Medical Center
  • OKABE Nobukazu
    Okabe Clinic
  • TAKESHIMA Fuminao
    Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences
  • NAKAO Kazuhiko
    Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences

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Other Title
  • 上部消化管内視鏡検査後に脱出臓器が還納され,待期的手術が可能となったMorgagni孔ヘルニアと食道裂孔ヘルニア併存の1例

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Abstract

<p>An 87-year-old woman with a 4-month history of postprandial gastrointestinal obstruction was admitted to our facility after suddenly vomiting black matter. Computed tomography and esophagogastroduodenoscopy revealed gastric prolapse and prolapse of the duodenum and transverse colon. Morgagni hernia combined with esophageal hiatal hernia was diagnosed. Gastric and duodenal obstructions were successfully repaired by endoscopy, followed by laparoscopic repair. Endoscopic repair helped the patient avoid fasting before surgery. The patient had a history of several chest bruises, which were detected by chest X-rays and suspected to be the cause of the hernias over time.</p>

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