Morgagni Diaphragmatic Hernia with Massive Pericardial Effusion in Neonate-A Case Report

新生兒Morgagni橫膈疝脫合併大量心包膜積水：一病例報告

趙垂勳(Twei-Shiun Jaw)；劉金昌(Gin-Chung Liu)；吳俊仁(Jiunn-Ren Wu)；呂志忠(Chu-Chong Lu)；陳少勳(Shaou-Hsiun Chen)；李振豐(Zen-Fung Lee)

橫膈疝脫 ； 心包膜 ； Hernia, diaphragm ； pericardium

中華放射線醫學雜誌

16卷4期（1991 / 12 / 01）

399 - 403

英文

Morgagni橫膈疝脫合併大量心包膜積水在文獻上極為罕見。本文報告一例嚴重呼吸窘迫之低體重新生兒，其胸部X-光像呈現極度擴張之心廓影，幾乎使全胸不透光(opaque)。超音波及磁振造影清楚顯示大量心包膜積水，橫膈缺陷及肝臟之疝脫。病人經開刀痊癒。超音波可提供良好的最初診斷，而磁振造影可幫助確定診斷，更進一步瞭解其範圍及可能合併之異常。

Morgagni hernia with massive pericardial effusion has rarely been reported in literature. A low-birth-weight neonate with severely respiratory distress is presented. The initial chest radiograph showed massive enlargement of cardiac silhouette causing almost completely opaque chest. Sonography and MR imaging well demonstrated massive pericardial effusion and herniation of the liver through an anteromedial diaphragmatic defect. The patient exhibited normal health after surgery. Sonography can provide a good initial diagnosis. MR imaging may help to confirm the diagnosis and to achieve a more detailed study in the extent of disease as well as the possibly associated anomalies.