Abstract:

Morgagni hernia or parasternal hernia is a very rare entity of congenital diaphragm hernia with a frequency of 3% of all diaphragmatic hernias, is defined as the intrathoracic protrusion of abdominal viscera through a defect in anterior diaphragm. We report a case of 60-years-ald -female with no past medical history, incidentally discovered Morgagni hernia during an abdominal CT for acute pancreatitis. Her vital signs were normal, while physical examination was founded discomfort and tenderness during epigastric palpation without any other associated signs.Abdominal TC was performed, and images before the administration of contrast material showed the Morgagni hernia with the presence of abdominal viscera inside chest cavity associated to the diastasis of the 5 (mm? cm?) diaphragmatic fibres, the hernial sac containing a part of stomach and transverse colon and none signs of obstruction. The patient underwent the reduction of the content hernia excision of the sac and mesh-free repair method using non-absorbable sutures an laparoscopy, the patient evolved favourably. The aim of this study was to describe theclinical characteristics and surgical outcomes of MH repair based on operative approach.

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