Ki Won Kim, MD, Francis Baccay, MD, Steven Borenstein, MD. Montefiore Medical Center
Morgagni hernia is a rare variant of congenital diaphragmatic hernia consisting of a defect in the anterior aspect of the diaphragm. Presented here is the case of a left-sided Morgagni hernia in an 11-year-old boy with Down's syndrome, with a prior history of cardiac surgery. The patient presented to Montefiore Medical Center for minor burns and was incidentally found to have a diaphragmatic hernia with colon in the left chest on chest X-ray.
Given the relative rarity of this condition, the literature is lacking with regard to the optimal approach to surgery. A minimally-invasive, laparoscopic-assisted approach for primary repair of the hernia defect without mesh was first described by Azzie et al in the Journal of Pediatric Surgery in 2003. This technique was adopted for repair of the patient's left-sided Morgagni hernia.
The patient tolerated surgery well and was discharged home without complication. He remains without evidence of recurrence six months out from the time of surgery. Primary repair of Morgagni hernias in children appears to be validated in the pediatric surgery literature and a laparoscopic approach is demonstrated to be both feasible and beneficial.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80886
Program Number: V179
Presentation Session: Video Loop
Presentation Type: VideoLoop