A rare case of pseudomyxoma peritonei with Morgagni hernia

被引:0
作者
Imagami, Toru [1 ,2 ]
Oe, Yasumitsu [1 ,2 ]
An, Byonggu [1 ,2 ]
Takao, Nobuyuki [1 ,2 ]
Togawa, Takeshi [1 ,2 ]
Mizumoto, Akiyoshi [1 ,2 ]
机构
[1] Omi Med Ctr, Dept Digest Surg, 1660 Yabase, Kusatsu, Shiga 5258585, Japan
[2] Omi Med Ctr, Peritoneal Disseminat Ctr, 1660 Yabase, Kusatsu, Shiga 5258585, Japan
关键词
Pseudomyxoma peritonei; Morgagni hernia; Cytoreductive surgery; Peritonectomy; CYTOREDUCTIVE SURGERY; INGUINAL-HERNIA; MANAGEMENT;
D O I
10.1007/s13691-023-00614-w
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Both pseudomyxoma peritonei and Morgagni hernias in adults are rare clinical conditions. A 70-year-old woman who was diagnosed with pseudomyxoma peritonei with Morgagni hernia underwent cytoreductive surgery and primary repair. Pseudomyxoma peritonei causes increased intra-abdominal pressure that may lead to acquired congenital diaphragmatic hernia when there is a local fragility in the diaphragmatic musculature. Parietal peritonectomy of the right diaphragmatic peritoneum can safely remove the hernia sac. The high rate of infections associated with cytoreductive surgery causes hesitation for concurrent mesh repair for Morgagni hernia. This is the first report of pseudomyxoma peritonei with Morgagni hernia. Cytoreductive surgery including parietal peritonectomy of the right diaphragmatic peritoneum plus primary repair of hernial defect was performed safely and successfully, which achieved positive short-term results for patients with pseudomyxoma peritonei-associated Morgagni hernia.
引用
收藏
页码:263 / 267
页数:5
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