A case of larrey hernia with duodenal herniation repaired by laparoscopic surgery using composix kugel patch

Abstract

We describe the case of an 84-year-old female complaining of appetite loss, nausea and vomiting who was admitted to our hospital. Chest X-ray showed an abnormal shadow on the right cardiodiaphragmatic angle. Abdominal computed tomography revealed Morgagni hernia with a herniation of the transverse colon and the stomach. Upper gastrointestinal series using a gastrographin revealed a herniation of the stomach (pyloric part) and the duodenum (bulb). Laparoscopically, we made a definitive diagnosis of Larrey hernia with a hiatus of 6 × 4 cm in diameter. We performed a laparoscopic repair using a Composix Kugel Patch^® and a hernia stapler without an excision of the hernia sac. She was discharged on the 7th postoperative day without complications. Larrey hernia is an unusual type of diaphragmatic hernia, and the duodenum is a very rare hernia location. Laparoscopic repair of a Larrey hernia is a minimally invasive surgery, making it safe and feasible for elderly patients.