Laparoscopic repair of a symptomatic right congenital morgagni hernia in an elderly patient: a rare case report

Milap M. Wadia; Rajan B. Patel; Meet Kachhadia

doi:10.18203/2349-2902.isj20242143

Authors

Milap M. Wadia SVP HOSPITAL, Ahmedabad, Gujarat, India
Rajan B. Patel SVP HOSPITAL, Ahmedabad, Gujarat, India
Meet Kachhadia PDU Medical College, Rajkot, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20242143

Keywords:

Laparoscopic repair, Morgagni hernia, Congenital diaphragmatic defect, Minimally invasive surgery, Prosthetic mesh, Right-sided hernia, Thoracic imaging, Surgical correction

Abstract

Morgagni hernia is a rare form of congenital diaphragmatic defect on the anterior part of the diaphragm with a prevalence of 2-3%. We report a case of a 70-year-old female who presented with burning chest pain, intermittent and colicky upper abdominal pain occasionally associated with nausea and vomiting, and constipation for 4 months. Imaging studies, including X-ray, ultrasound, CT scan, and MRI, were suggestive of a right-sided congenital Morgagni hernia. Late diagnosis of this condition in adults is extremely rare, and in the elderly, it is even rarer. The patient underwent successful laparoscopic diaphragmatic hernia repair with prosthetic mesh placement. The postoperative period was uneventful, and the patient was discharged on the fifth postoperative day. Minimally invasive surgical techniques provide definitive treatment for patients with uncomplicated Morgagni hernia cases, offering a shorter recovery time and a low complication rate.

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