E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA

Salman Assad, Ahsan Zil-E-Ali, Furrukh Jabbar.

Abstract
We report two case reports of Morgagni hernia repair. Our first case was on 65 year old white male who presented with abdominal pain in right upper quadrant and right side of chest for last 3 days. He was having 3 episodes of dark appearing vomiting associated with pain. He also had two episodes of hematemesis. Patient had gastric outlet obstruction with severe distension of stomach because of incarcerated small bowel and colon in the right sided anterior diaphragmatic Morgagni hernia. Laparoscopic repair of incarcerated Morgagni hernia under general anesthesia was planned. We report our second case on rare simultaneous presentation of Morgagni Hernia with type 3 Para esophageal hernia. 60 years old female patient presented in clinic with a follow up of chest discomfort which was progressively increasing with shortness of breath and a chronic gastric reflux. Her vitals were within normal limits and had body mass index (BMI= 29.52kg/m2) (overweight category). Previous past medical history included multiple episodes of gastric regurgitation and cardiovascular intervention for coronary stenting. CT scan showed type 3 paraesophageal hernia (gastro esophageal junction with fundus of stomach displaced above diaphragm). The patient had more than 30% of her stomach incarcerated in the chest as a paraesophageal hernia. The gastro esophageal junction was intra-abdominal after lysis of adhesion. Mesh was placed after posterior crural repair, followed by Nissen fundoplication over a 54 French bougie patient also had an incidental finding of a reducible Morgagni hernia through an anterior defect, followed by a repair without mesh. Esophago-gastro-duodenoscopy showed there was no evidence of any air leak with good valve creation on retroflexion through a fundoplication.

Key words: Diaphragmatic hernia, Laparoscopy, Morgagni hernia, Paraesophageal hernia, Fundoplication


 
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How to Cite this Article
Pubmed Style

Assad S, AZ, Jabbar F. THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. Int J Surg Med. 2018; 4(4): 188-190. doi:10.5455/ijsm.adult-morgagni-hernia


Web Style

Assad S, AZ, Jabbar F. THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. http://www.ejos.org/?mno=223800 [Access: December 11, 2018]. doi:10.5455/ijsm.adult-morgagni-hernia


AMA (American Medical Association) Style

Assad S, AZ, Jabbar F. THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. Int J Surg Med. 2018; 4(4): 188-190. doi:10.5455/ijsm.adult-morgagni-hernia



Vancouver/ICMJE Style

Assad S, AZ, Jabbar F. THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. Int J Surg Med. (2018), [cited December 11, 2018]; 4(4): 188-190. doi:10.5455/ijsm.adult-morgagni-hernia



Harvard Style

Assad, S., , . A. Z. & Jabbar, . F. (2018) THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. Int J Surg Med, 4 (4), 188-190. doi:10.5455/ijsm.adult-morgagni-hernia



Turabian Style

Assad, Salman, Ahsan Zil-E-Ali, and Furrukh Jabbar. 2018. THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. International Journal of Surgery and Medicine, 4 (4), 188-190. doi:10.5455/ijsm.adult-morgagni-hernia



Chicago Style

Assad, Salman, Ahsan Zil-E-Ali, and Furrukh Jabbar. "THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA." International Journal of Surgery and Medicine 4 (2018), 188-190. doi:10.5455/ijsm.adult-morgagni-hernia



MLA (The Modern Language Association) Style

Assad, Salman, Ahsan Zil-E-Ali, and Furrukh Jabbar. "THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA." International Journal of Surgery and Medicine 4.4 (2018), 188-190. Print. doi:10.5455/ijsm.adult-morgagni-hernia



APA (American Psychological Association) Style

Assad, S., , . A. Z. & Jabbar, . F. (2018) THREE PORTS LAPAROSCOPIC REPAIR OF ADULT MORGAGNI HERNIA AND RARE SIMULTANEOUS PRESENTATION OF PARA-ESOPHAGEAL HERNIA WITH MORGAGNI HERNIA. International Journal of Surgery and Medicine, 4 (4), 188-190. doi:10.5455/ijsm.adult-morgagni-hernia