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ISSN 1665-2576 (Print)

2017, Number 2

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Rev Mex Cir Endoscop 2017; 18 (2)

Morgagni diaphragmatic hernia. Laparoscopic approach in adult patient. Case report

Pérez PY, Baley SM, Martínez CT, Menjivar RÓ; Gómez ARZ

Language: Spanish
References: 5
Page: 84-88
PDF size: 267.16 Kb.


ABSTRACT

Introduction: The Morgagni diaphragmatic hernia is a defect located between the sternum and costal ligaments, generally on the right side as consequence of an incomplete development of the diaphragmatic tendon. This is part of the so-called complex diaphragmatic hernias, with an incidence of 1-6% representing 2.5% of the congenital diaphragmatic hernias and 70-90% are located on the right side. Asymptomatic in 30% of all cases. Diagnosis is frequently reached incidentally and laparoscopic surgery is a viable option since no thoracic approach is required. This is a case report of a Morgagni diaphragmatic hernia resolved via laparoscopic approach. Case report: 58-year old male with no history of chronic or degenerative illness or surgical procedures. Complains of dysphagia, early satiety and diffuse abdominal pain. No respiratory or cardio-vascular complaints were present. A right opaque image was seen on the Chest X-ray imaging in the cardio-phrenic angle. Colon barium enema showing colon located in the thoracic cavity. CT scan showing a segment of colon in the thoracic cavity. A repair is performed with mesh overlapping, fixing it with polyester reinforced sutures using Teflon pads. Surgical time of 120 min, bleeding less than 50 cm3. The patient developed satisfactorily and was discharged 72 hours post op. No recurrence until now. Conclusion: The Morgagni-Larrey hernias are rare congenital hernias in adult patients. The laparoscopic approach using mesh for Morgagni diagragmatic hernia is feasible and carries a lower morbidity.


REFERENCES

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  2. Bianchi E, Mancini P, De Vito S, Pompili E, Taurone S, Guerrisi I et al. Congenital asymptomatic diaphragmatic hernias in adults: a case series. J Med Case Rep. 2013; 7: 125.

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