Chaya Shwaartz, MD1, Mor Aharoni, MD1, Joe Kim2, Motti Cordova, MS1, Mordechai Gutman, MD1, Danny Rosin, MD1. 1Sheba Medical Center, 2Summit Medical Grouup
We present a case of a laparoscopic repair of Morgagni hernia found during surgery.
This is a 82 year-old patient presented with mild abdominal discomfort. Preoperative workup suggested the diagnosis of gastric volvulus. However, during surgery, a Morgagni hernia was found. We repaired the hernia laparoscopically using an endoclose. The patient was doing well after surgery.
Diaphragmatic hernia can be acquired or congenital. Congenital diaphragmatic hernia occurs through embryonic diaphragmatic defects. Most patients present early in life. However, a subset of patients present as adults.
When this pathology found in an adult they usually have mild symptoms or are asymptomatic and the hernia discovered incidentally.
When compared to Bochdalek hernia, Morgagni hernia is rarer, smaller, located anteriorly on the right of the pt and asymptomatic.
This is relatively rare with the literature on this entity is lacking.
There are a few points to discuss regarding the repair such as the necessity of the sac removal, the closure of the defect, the use of mesh and the need for an abdominal drain.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95027
Program Number: V285
Presentation Session: Video Loop Day 2
Presentation Type: VideoLoop