LAPAROSCOPIC COMPOSITE‐MESH REPAIR OF AN ADULT MORGAGNI HERNIA

Abstract

Congenital Morgagni hernia is a rare clinical condition. We present a 72‐year‐old man with epigastric discomfort and hematemesis who was diagnosed with hernia of Morgagni with an incarceration of the stomach and colon. The patient was treated electively by laparoscopic composite‐mesh repair without excising the hernial sac or approximating the edges of the defect, which was 10 × 6 cm in diameter. He was discharged on the seventh postoperative day without any complications. At a 1‐year follow‐up examination he had no recurrence nor clinical symptoms, although the large hernial sac contained fluid. Laparoscopic composite‐mesh repair is a less‐invasive and tension‐free method for Morgagni hernia that results in an excellent clinical outcome.