Abstract
A 75-year-old woman was prescribed oral medication for recurrent vomiting, with the diagnosis of hiatal hernia. She visited our outpatient department because of vomiting after meals. Chest radiography revealed a supradiaphragmatic, mass-like shadow with a gaseous image in the right lower lung field. Computed tomography showed the stomach prolapsed in the right thoracic cavity from the abdominal cavity, and a Morgagni foramen hernia was diagnosed. Laparoscopy-assisted, intraperitoneal examination revealed a 5 × 6 cm hernia orifice at the right side of the posterior sternum, with intussusception of transverse colon and omentum. We did not excise the hernia sac, and placed a Composix (E/X) Mesh to cover the hernia orifice. Postoperative subcutaneous bleeding at the port site was managed conservatively. The patient was discharged from the hospital on the 22nd postoperative day. There has been no relapse 2 years after the operation. Laparoscopic repair of Morgagni hernia may be an easy and minimally invasive treatment.
