2009 Volume 23 Issue 4 Pages 621-625
A 69-year-old woman complained of a persistent cough. A radiograph, CT, and barium enema study revealed the herniation of the transverse colon into the right hemithorax through a retrosternal defect, confirming the presence of Morgagni hernia. Simultaneous thoracoscopical and laparoscopical repair was performed using three thoracoscopical and two laparoscopical ports. The transverse colon in the sac was easily reduced into the abdominal cavity with laparoscopic assistance, and the hernial sac was resected and diaphragm defect was closed by double continuous suture with thoracoscopic assistance. Simultaneous thoracoscopical and laparoscopical repair should be considerd as a novel technique for Morgagni hernia with abdominal contents.
