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首页> 外文期刊>Journal of Pediatric Sciences >Recurrent chest infection and congenital anomalies in children with Morgagni's hernia.
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Recurrent chest infection and congenital anomalies in children with Morgagni's hernia.

机译：Morgagni疝气患儿的反复胸部感染和先天性异常。

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Aim: Congenital diaphragmatic hernias are common, whereas defects through the foramen of Morgagni are much more rarely observed. This study aimed to summarize clinically relevant three-year data on Morgagni's hernia (MH) in children. Methods: A retrospective review was conducted on all the patients who underwent MH repair from 2005 to May 2008. A total of 7 children with MH were reviewed (4 females, aged 3.5 months to 9 years), and demographic data, clinical presentation, morbidity, and outcome were studied. Contrast studies and computed tomography (CT) scans of the thorax were performed for diagnosis. Results: The most common complaints of the patients with respiratory disorders included cough and wheezing. Chest auscultation revealed rales, rhoncus, and/or wheezing, especially at the right hemithorax. Associated anomalies were documented in 6 patients (85.7%), most of whom presented pectus carinatum, malrotation, caput quadratum, undescended testes, micropenis, Down's syndrome, and Marfan syndrome. The X-ray radiography and CT scans revealed a gas-filled cystic mass (5 cases) and homogeneous mass image (2 cases). MH diagnosis was confirmed following colonography. Of the 7 patients, 6 had right-sided MH and 1 had bilateral hernia. The MHs were most commonly accompanied by a hernia sac, whose contents were primarily limited to the colon. All the patients underwent transabdominal repair. The patients recovered well postoperatively. Conclusions: Our study shows a relatively high frequency of MH compared with that reported in literature. MH should be considered as a diagnosis for patients who present unexplained radiological images associated with congenital anomalies and recurrent chest infection.
机译：目的：先天性diaphragm肌疝很常见，而通过摩加尼（Morgagni）孔的缺陷很少见。这项研究旨在总结有关儿童莫格尼疝（MH）的临床相关三年数据。方法：回顾性分析2005年至2008年5月期间所有进行过MH修复的患者。共对7例MH患儿进行了回顾（4名女性，年龄3.5个月至9岁），并对其人口统计学资料，临床表现，发病率进行了分析。 ，并对结果进行了研究。对胸部进行了对比研究和计算机断层扫描（CT）扫描以进行诊断。结果：呼吸系统疾病患者最常见的主诉包括咳嗽和喘息。胸部听诊发现有罗音，菱形和/或喘息声，尤其是在右半胸。记录到6例患者（85.7％）的相关异常，其中大多数患者表现为肉食性鼻咽癌，旋转不良，四方形角，睾丸未降，微阴茎，唐氏综合症和马凡氏综合症。 X射线摄影和CT扫描显示充满气体的囊性肿块（5例）和均质的肿块图像（2例）。结肠镜检查证实MH诊断。在7例患者中，有6例为右侧MH，1例为双侧疝。 MH最常伴有疝囊，其内容主要限于结肠。所有患者均接受了腹部修复。术后恢复良好。结论：我们的研究表明与文献报道相比，MH的发生频率相对较高。对于表现出与先天性异常和反复胸部感染相关的无法解释的影像学影像的患者，应考虑将MH作为诊断。

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