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. 2007 Oct 12:2:27.
doi: 10.1186/1749-7922-2-27.

Laparoscopic repair of strangulated Morgagni hernia

Michael D Kelly  1
Affiliations

Laparoscopic repair of strangulated Morgagni hernia

Michael D Kelly. World J Emerg Surg. .

Abstract

A 73 year old man presented with vomiting and pain due to a strangulated Morgagni hernia containing a gastric volvulus. Laparoscopic operation allowed reduction of the contents, excision of necrotic omentum and the sac, with mesh closure of the large defect. A brief review of the condition is presented along with discussion of the technique used.

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Figures

Figure 1
Figure 1
Chest x-ray on admission showing an unusual air fluid level in the lower chest.
Figure 2
Figure 2
Plain x-ray showing the gastric volvulus.
Figure 3
Figure 3
Upper GI contrast study via a gastric tube showing gastric volvulus and obstruction.
Figure 4
Figure 4
Laparoscopic view showing the Morgagni hernia. The arrow points to the ischaemic stomach, which is just visible.
Figure 5
Figure 5
Appearance following reduction of the hernia contents. The arrow points to the site of incision of the neck of the hernia. The thin, transparent peritoneal sac can be seen lining the cavity. The falciform ligament (FL) is seen running into the defect.
Figure 6
Figure 6
Appearance following removal of the sac and clearing of the edges of the defect in preparation for mesh placement.
Figure 7
Figure 7
View showing the polypropelene mesh tacked in place.
See this image and copyright information in PMC

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