The Laparoscopic Repair of a Morgagni Hernia in a Child
نویسندگان
چکیده
A 12-year-old female presented with the abnormal findings on the chest PA. The chest CT revealed a retrosternal defect of the diaphragm and a fatty opacity in the pleural cavity, resulting in a diagnosis of Morgagni hernia. It was decided to undergo a laparoscopic surgery. The retrosternal defect of the diaphragm measuring 3.5 cm in diameter was found, through which a portion of the greater omentum and the fatty tissue connected with the falciform ligament were herniated into the pleural cavity. The greater omentum was pushed back into the peritoneal cavity and the fatty tissue connected with falciform ligament was excised. The mediastinal pleura was plicated and the defect of the diaphragm was repaired primarily. Immediately after the operation, the patient developed a right pneumothorax for which a chest tube was inserted. She was discharged at the post-operative third day without any further complications.
منابع مشابه
Laparoscopic repair of a Morgagni diaphragmatic hernia in a child, using a trans-sternal technique
Laparoscopic repair of Morgagni hernia has been described in adults and children. In the published reports, the crux of the repair consists of suturing the posterior part of the diaphragmatic defect to the undersurface of the sternum or the posterior rectus sheath. The tissue on the undersurface of the sternum is variable is in its nature and may be inadequate for suturing, hence compromising t...
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Intoduction: Morgagni hernia is a herniation through the costosternal portion of diaphragm. Morgagni's defect usually occurs on the right side. Morgagni hernia is a rare hernia and occurs more commonly in adults.Case report: A 4 years old child was referred to office for recurrent pneumonias. The patient was under treatment for his pneumonias since 2 years ago. On chest CT scan, transverse ...
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