Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of larrey hernia requiring a laparoscopic repair
Tomoya ABETakahiro KAMIGAKazuhiro TAKAMINaruhisa TAKANOTsuyoshi TOMINAGAMichiaki UNNO
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JOURNAL FREE ACCESS

2010 Volume 71 Issue 10 Pages 2562-2565

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Abstract
An 82-year-old woman developed constipation and abdominal pain. Computed tomography (CT) showed a diaphragmatic hernia prolapsing into the right pleural cavity, an incarcerated transverse colon, and incarcerated soft tissue. Laparoscopic emergency surgery was performed. The herniation occurred via the foramen of Larrey. The transverse colon was already reduced because of the pneumoperitoneum. The size of the hernia orifice was 4 × 3 cm. A primary closure was done, and the patient was discharged after an uneventfull recovery. There was no evidence of recurrence on CT done 1 month after the operation. A laparoscopic repair should be considered as the first choise for treatment of a Morgagni or Larrey hernia.
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© 2010 Japan Surgical Association
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