Repeated Morgagni Hernia Incarcerating the Transverse Colon in an 83-Year-Old Woman

Abstract

An 83-year-old woman presented to the emergency department complaining of epigastric pain. A CT scan indicated the transverse colon had incarcerated the Morgagni foramen. She has a past medical history of abdominal pain twice in one year, however her symptom was improved spontaneously. On this occasion her symptom did not improve, and an emergency operation was performed. In operative findings, the transverse colon and greater omentum were incarcerated into the Morgagni foramen, which could be manually returned into the abdominal cavity. There was no perforation and necrosis in the hernia contents and the hernia orifice was around 3 cm×3 cm in diameter, which was closed with a direct suture. The postoperative course was uneventful. No recurrence has been seen since the surgery. A recurrent Morgagni hernia should be treated with surgical repair.