2018, Number 4
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ABSTRACTWe present the case of a 31-year-old female patient, who was sent to the general surgery department. Denies chronic and degenerative diseases, current disease with mild effort dyspnea of three months of evolution accompanied by intermittent cough, during a pulmonary protocol study whit evident diaphragmatic hernia, tomography showed a major defect of anterior diaphragm retrosternal portion, laparoscopic surgery was performed an anterior diaphragmatic hernia in retrosternal portion of 5 x 4 cm was found with transverse colon in its interior without vascular involvement, A laparoscopic diaphragmatic plasty was performed, with closure of the diaphragmatic defect with non-absorbable suture without any incident. The Morgagni hernia is a very rare condition. It is generally detected during childhood, it’s diagnosis is exceptional in the adult age. It was first described in 1769 by Giovanni Battista Morgagni as an anterior defect in the diaphragm, which allowed the herniation of the abdominal viscera within the thorax and is caused by a poor development of the sternal portion of the diaphragm that comes from the transverse septum and is fixed to the posterior portion of the xiphoid process. Surgical repair is the only definitive treatment and includes standardized steps for sac dissection, reduction of its contents and repair of the diaphragm defect, either directly or through the use of a mesh for large defects.
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